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评分法筛查社区老年人群心房颤动与缺血性卒中(3)
作者:网站采编关键词:
摘要:国内外专家共识均指出房颤类型与卒中风险无关[2],而CHA2DS2-VASc评分法中也未将房颤类型作为卒中的独立危险因素之一。本研究结果亦显示阵发性房颤
国内外专家共识均指出房颤类型与卒中风险无关[2],而CHA2DS2-VASc评分法中也未将房颤类型作为卒中的独立危险因素之一。本研究结果亦显示阵发性房颤和持续性房颤患者缺血性卒中的发生率间无统计学差异。因此,社区全科医生和老年人均应正确认识房颤类型与缺血性卒中的关系,不能误认为“持续性房颤发生缺血性卒中的风险比阵发性房颤高”。
综上所述,CHA2DS2-VASc评分法可用于社区老年人房颤与缺血性卒中的筛查。随着老年人CHA2DS2-VASc评分表评分的增加,房颤和缺血性卒中的发生率均逐渐增加,尤其对CHA2DS2-VASc评分表评分>2分的老年人应加强房颤与缺血性卒中的预防和管理。
作者贡献:杨红负责课题设计与实施;刘俊负责课题设计/数据分析;冯志刚、高大勇负责问卷资料采集;宋卫华进行课题指导与支持。
本文无利益冲突。
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文章来源:《中国社区医师》 网址: http://www.zgsqyszzs.cn/qikandaodu/2021/0613/1912.html
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