Epidemiology of Atrial Fibrillation and Heart Failure A Growing and Important Problem

被引:44
作者
Karnik, Ankur A. [1 ]
Gopal, Deepa M. [1 ]
Ko, Darae [1 ]
Benjamin, Emelia J. [1 ,2 ,3 ]
Helm, Robert H. [1 ]
机构
[1] Boston Univ, Sch Med, Cardiovasc Med Sect, Evans Dept Med, 72 East Harrison St,Collamore 8, Boston, MA 02118 USA
[2] Boston Univ, Sch Publ Hlth, Dept Epidemiol, 72 East Harrison St,Collamore 8, Boston, MA 02118 USA
[3] Framingham Heart Dis Epidemiol Study, Framingham, MA USA
关键词
Atrial fibrillation; Heart failure; Epidemiology; Risk factors; Prognosis; OBSTRUCTIVE SLEEP-APNEA; PRESERVED EJECTION FRACTION; VENTRICULAR SYSTOLIC DYSFUNCTION; LONG-TERM MORTALITY; 20-YEAR FOLLOW-UP; MIDDLE-AGED MEN; RISK-FACTORS; LIFETIME RISK; PROGNOSTIC-SIGNIFICANCE; CARDIOVASCULAR-DISEASE;
D O I
10.1016/j.ccl.2019.01.001
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
The global prevalence of atrial fibrillation (AF) and heart failure (HF) is rising. Population-based studies have observed that AF and HF often coexist, predispose to each other, and share risk factors. Age is the most potent risk factor for both AF and HF, but race plays an important role. Although AF and HF share common risk factors, adjusting for these risk factors does not explain the higher risk of AF patients developing HF and vice versa. Common pathophysiologic mechanisms may explain this linkage. The morbidity and mortality outcomes with combined AF and HF are substantial and warrant improved preventive strategies.
引用
收藏
页码:119 / +
页数:12
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