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Circulation：全球60位专家呼吁：65岁以上无症状老年人应筛查房颤！

2017-05-11 许菁 中国循环杂志

房颤卒中筛查
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近日，包括上海交大附属瑞金医院王继光教授在内的全球60名AF-SCREEN国际协作组成员发布了《心房颤动筛查》白皮书，建议>65岁无症状老年人群应筛查房颤。

近日，包括上海交大附属瑞金医院王继光教授在内的全球60名AF-SCREEN国际协作组成员发布了《心房颤动筛查》白皮书，建议>65岁无症状老年人群应筛查房颤。

约10%的缺血性卒中是由心房颤动所引起，而心房颤动通常在卒中时/后才被发现。导致脑卒中的无症状性心房颤动其实屡见不鲜。数据显示，在65~75岁人群中进行筛查可检出1%~3%的未曾诊断的心房颤动患者。

白皮书称，在65岁及以上人群筛查无症状性房颤并给予抗凝药物治疗，每年可以在全球避免成千上万的卒中事件。

鉴于检出房颤的便捷性，且已证实及时进行有效的治疗可充分改善患者的临床结局，AF-SCREEN协作组认为，在社区以及诊室对老年人群进行房颤的筛查是合理、经济和有效的。

白皮书号认为，老年人房颤筛查工作可由全科医生在诊所或社区进行，筛查方式包括测量脉搏、血压监护仪以及手持式心电图设备。手持式心电图设备是最佳的筛查工具，能快速、可靠的诊断出房颤。

据悉，AF-SCREEN是一项国际合作项目，旨在全球范围内推动各个国家开展心房颤动筛查计划。

AF-SCREEN国际协作组由来自33个国家的130余名心脏病学专家、神经病学专家、全科医生、卫生经济学家、护士、药剂师及患者组成。


原始出处：

Freedman B, Camm J, Calkins H, et al. Screening for Atrial Fibrillation: A Report of the AF-SCREEN International Collaboration. Circulation.2017, 135: 1851-1867.Originally published May 8, 2017

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  1. [GetPortalCommentsPageByObjectIdResponse(id=2081136, encodeId=6203208113658, content=<a href='/topic/show?id=65d02065e3d' target=_blank style='color:#2F92EE;'>#专家呼吁#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20657, encryptionId=65d02065e3d, topicName=专家呼吁)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3307462, createdName=风铃821, createdTime=Fri Jan 26 23:24:00 CST 2018, time=2018-01-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=197702, encodeId=6bbe19e702b1, content=筛查真的很重要, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3yyd52PqIMLms7hHFo7X0EK1Ll6EfibFxUK9uLrHg0JDUfuR2f7rDxuT1MbB6B00nryiaRm3SHbyvxIDn1icMic7hZ/0, createdBy=3e9e51606, createdName=dyt143, createdTime=Sat May 13 23:59:55 CST 2017, time=2017-05-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1484961, encodeId=b63d14849616e, content=<a href='/topic/show?id=4bbe5902ed2' target=_blank style='color:#2F92EE;'>#无症状#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59027, encryptionId=4bbe5902ed2, topicName=无症状)], attachment=null, authenticateStatus=null, createdAvatar=Bioon/avatar/20180429/70baad2aa5a046c5aa2914d262de7d37.jpg, createdBy=bd077990475, createdName=12498da4m34(暂无昵称), createdTime=Sat May 13 02:24:00 CST 2017, time=2017-05-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1551882, encodeId=87ef155188259, content=<a href='/topic/show?id=6bbf618e10a' target=_blank style='color:#2F92EE;'>#查房#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=61871, encryptionId=6bbf618e10a, topicName=查房)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a59514235100, createdName=smartjoy, createdTime=Sat May 13 02:24:00 CST 2017, time=2017-05-13, status=1, ipAttribution=)]
    2018-01-26 风铃821

    #专家呼吁#

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=2081136, encodeId=6203208113658, content=<a href='/topic/show?id=65d02065e3d' target=_blank style='color:#2F92EE;'>#专家呼吁#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20657, encryptionId=65d02065e3d, topicName=专家呼吁)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3307462, createdName=风铃821, createdTime=Fri Jan 26 23:24:00 CST 2018, time=2018-01-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=197702, encodeId=6bbe19e702b1, content=筛查真的很重要, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3yyd52PqIMLms7hHFo7X0EK1Ll6EfibFxUK9uLrHg0JDUfuR2f7rDxuT1MbB6B00nryiaRm3SHbyvxIDn1icMic7hZ/0, createdBy=3e9e51606, createdName=dyt143, createdTime=Sat May 13 23:59:55 CST 2017, time=2017-05-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1484961, encodeId=b63d14849616e, content=<a href='/topic/show?id=4bbe5902ed2' target=_blank style='color:#2F92EE;'>#无症状#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59027, encryptionId=4bbe5902ed2, topicName=无症状)], attachment=null, authenticateStatus=null, createdAvatar=Bioon/avatar/20180429/70baad2aa5a046c5aa2914d262de7d37.jpg, createdBy=bd077990475, createdName=12498da4m34(暂无昵称), createdTime=Sat May 13 02:24:00 CST 2017, time=2017-05-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1551882, encodeId=87ef155188259, content=<a href='/topic/show?id=6bbf618e10a' target=_blank style='color:#2F92EE;'>#查房#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=61871, encryptionId=6bbf618e10a, topicName=查房)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a59514235100, createdName=smartjoy, createdTime=Sat May 13 02:24:00 CST 2017, time=2017-05-13, status=1, ipAttribution=)]
    2017-05-13 dyt143

    筛查真的很重要

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=2081136, encodeId=6203208113658, content=<a href='/topic/show?id=65d02065e3d' target=_blank style='color:#2F92EE;'>#专家呼吁#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20657, encryptionId=65d02065e3d, topicName=专家呼吁)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3307462, createdName=风铃821, createdTime=Fri Jan 26 23:24:00 CST 2018, time=2018-01-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=197702, encodeId=6bbe19e702b1, content=筛查真的很重要, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3yyd52PqIMLms7hHFo7X0EK1Ll6EfibFxUK9uLrHg0JDUfuR2f7rDxuT1MbB6B00nryiaRm3SHbyvxIDn1icMic7hZ/0, createdBy=3e9e51606, createdName=dyt143, createdTime=Sat May 13 23:59:55 CST 2017, time=2017-05-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1484961, encodeId=b63d14849616e, content=<a href='/topic/show?id=4bbe5902ed2' target=_blank style='color:#2F92EE;'>#无症状#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59027, encryptionId=4bbe5902ed2, topicName=无症状)], attachment=null, authenticateStatus=null, createdAvatar=Bioon/avatar/20180429/70baad2aa5a046c5aa2914d262de7d37.jpg, createdBy=bd077990475, createdName=12498da4m34(暂无昵称), createdTime=Sat May 13 02:24:00 CST 2017, time=2017-05-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1551882, encodeId=87ef155188259, content=<a href='/topic/show?id=6bbf618e10a' target=_blank style='color:#2F92EE;'>#查房#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=61871, encryptionId=6bbf618e10a, topicName=查房)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a59514235100, createdName=smartjoy, createdTime=Sat May 13 02:24:00 CST 2017, time=2017-05-13, status=1, ipAttribution=)]
    2017-05-13 12498da4m34(暂无昵称)

    #无症状#

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=2081136, encodeId=6203208113658, content=<a href='/topic/show?id=65d02065e3d' target=_blank style='color:#2F92EE;'>#专家呼吁#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=0, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=20657, encryptionId=65d02065e3d, topicName=专家呼吁)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=3307462, createdName=风铃821, createdTime=Fri Jan 26 23:24:00 CST 2018, time=2018-01-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=197702, encodeId=6bbe19e702b1, content=筛查真的很重要, beContent=null, objectType=article, channel=null, level=null, likeNumber=95, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/oLAjfB7s1ib3yyd52PqIMLms7hHFo7X0EK1Ll6EfibFxUK9uLrHg0JDUfuR2f7rDxuT1MbB6B00nryiaRm3SHbyvxIDn1icMic7hZ/0, createdBy=3e9e51606, createdName=dyt143, createdTime=Sat May 13 23:59:55 CST 2017, time=2017-05-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1484961, encodeId=b63d14849616e, content=<a href='/topic/show?id=4bbe5902ed2' target=_blank style='color:#2F92EE;'>#无症状#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=64, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=59027, encryptionId=4bbe5902ed2, topicName=无症状)], attachment=null, authenticateStatus=null, createdAvatar=Bioon/avatar/20180429/70baad2aa5a046c5aa2914d262de7d37.jpg, createdBy=bd077990475, createdName=12498da4m34(暂无昵称), createdTime=Sat May 13 02:24:00 CST 2017, time=2017-05-13, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1551882, encodeId=87ef155188259, content=<a href='/topic/show?id=6bbf618e10a' target=_blank style='color:#2F92EE;'>#查房#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=67, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=61871, encryptionId=6bbf618e10a, topicName=查房)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a59514235100, createdName=smartjoy, createdTime=Sat May 13 02:24:00 CST 2017, time=2017-05-13, status=1, ipAttribution=)]
    2017-05-13 smartjoy

    #查房#

    0

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