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目的探讨本地区心房颤动(简称房颤)的病因构成和预防。方法对我院心内科2005年至2006年住院的252例房颤患者进行病因分析。结果高血压性心脏病占29.8%,冠状动脉粥样硬化性心脏病(简称冠心病)占23.8%,风湿性心脏病占12.3%,心肌病占8.7%,肺源性心脏病占8.7%,退行性瓣膜病占5.5%,甲状腺功能亢进(或甲状腺功能减退)性心脏病占3.2%,先天性心脏病占1.2%,预激综合征占0.8%,特发性房颤占6.0%。结论房颤病因中高血压性心脏病和冠心病占主要地位,预防房颤的重点是积极预防和治疗高血压和冠心病。
Objective To investigate the etiology and prevention of atrial fibrillation (AF) in this area. Methods Etiology analysis was performed on 252 patients with atrial fibrillation who were hospitalized in our hospital from 2005 to 2006. Results Hypertensive heart disease accounted for 29.8%, coronary atherosclerotic heart disease (referred to as coronary heart disease) accounted for 23.8%, rheumatic heart disease accounted for 12.3%, cardiomyopathy 8.7%, pulmonary heart disease 8.7% Degenerative valvular disease accounts for 5.5%, hyperthyroidism (or hypothyroidism), heart disease 3.2%, congenital heart disease 1.2%, pre-excitation syndrome 0.8%, and idiopathic atrial fibrillation 6.0%. Conclusion The causes of atrial fibrillation in hypertensive heart disease and coronary heart disease dominate the prevention of atrial fibrillation is the focus of active prevention and treatment of hypertension and coronary heart disease.