阵发性心房颤动与隐源性脑卒中的研究进展  

Research Progress of Paroxysmal Atrial Fibrillation and Cryptogenic Stroke

作　　者：付秀娟[1] 袁振华[1] 卢祖能[1] 

机构地区：[1]武汉大学人民医院神经内科,武汉430060

出　　处：《医学综述》2017年第9期1791-1795,共5页Medical Recapitulate

基　　金：湖北省卫生计生西医类重点项目(WJ2015MA007);武汉市应用基础研究计划项目(2015060101010047)

摘　　要：阵发性心房颤动(PAF)是引起隐源性脑卒中(CS)的最常见心源性因素。随着心电检测技术的改善,远程动态监测、植入式心电监测、心电起搏器及电除颤仪等检测手段的出现使PAF的检出率得到显著提高,一些简单实用的临床评分也为PAF的诊断提供了辅助方法。此外,心房颤动持续时间及发作频率与血栓栓塞风险之间具有密切的关系。目前,CS患者的二级预防是临床关注的重点,尤其是抗栓药物的选择。Paroxysmal atrial fibrillation（PAF） is the most common cardiac risk factor of cryptogenic stroke（CS）. As the improvement of electrocardiogram detecting technology, newer cardiac monitoring devices, such as the remote dynamic ECG monitors,insertable cardiac monitors, pacemakers and implantable cardioverter-defibrillators, continue to improve our ability to detect PAF, and increase the detection rate of PAF. Some simple practical clinical scoring methods offer an auxiliary method for the diagnosis of PAF. In addition, the duration and the frequency of atrial fibrillation has a close relationship with the risk of thromboembolism. The major challenge in managing CS is secondary stroke prevention, especifically in choosing antithrombotic therapy.

关 键 词：隐源性脑卒中 阵发性心房颤动 筛查 

分 类 号：R743.33[医药卫生—神经病学与精神病学]