切换至 "中华医学电子期刊资源库"

中华心脏与心律电子杂志 ›› 2026, Vol. 14 ›› Issue (02) : 89 -97. doi: 10.3877/cma.j.issn.2095-6568.2026.02.005

专家笔谈

50岁及以下年轻心房颤动患者的危险因素及治疗研究进展
石右, 林明杰, 钟敬泉†()   
  1. 1250012 济南,山东大学齐鲁医院心内科
    2266011 青岛,山东大学齐鲁医院(青岛院区)心内科
  • 收稿日期:2026-06-02 出版日期:2026-06-25
  • 通信作者: 钟敬泉
  • 基金资助:
    国家自然科学基金(82270331)

Advances in risk factors and treatment of atrial fibrillation in young patients aged ≤50 years

You Shi, Mingjie Lin, Jingquan Zhong†()   

  1. 1Department of Cardiology, Qilu Hospital of Shandong University, Jinan 250012, China
    2Department of Cardiology, Qilu Hospital of Shandong University (Qingdao), Qingdao 266011, China
  • Received:2026-06-02 Published:2026-06-25
  • Corresponding author: Jingquan Zhong
引用本文:

石右, 林明杰, 钟敬泉. 50岁及以下年轻心房颤动患者的危险因素及治疗研究进展[J/OL]. 中华心脏与心律电子杂志, 2026, 14(02): 89-97.

You Shi, Mingjie Lin, Jingquan Zhong. Advances in risk factors and treatment of atrial fibrillation in young patients aged ≤50 years[J/OL]. Chinese Journal of Heart and Heart Rhythm(Electronic Edition), 2026, 14(02): 89-97.

心房颤动(房颤)是临床上较常见的心律失常之一,与生活质量下降、脑卒中、心力衰竭、认知障碍和死亡等不良事件的增加密切相关,是心血管疾病致死和致残的重要原因。尽管房颤更多见于有基础疾病的老年人,但随着生活方式的改变,近年来房颤发病呈现年轻化趋势。同时,智能可穿戴设备的广泛普及与公众健康意识的不断提升,使得更多年轻患者得以早期检出。但目前针对这一群体的研究相对欠缺,临床实践面临不少难题。本文总结了国内外有关年轻房颤患者流行病学、危险因素及治疗的研究,强调了早期节律控制(尤其是导管消融)在年轻患者中的优势,旨在为年轻房颤患者的管理提供一定的参考,改善预后。

Atrial fibrillation (AF) is one of the most common clinical arrhythmias and is closely associated with adverse events such as reduced quality of life, stroke, heart failure, cognitive impairment, and death. It is a significant contributor to cardiovascular-related mortality and disability. Although AF is more prevalent in older adults with underlying medical conditions, recent lifestyle changes have led to a trend of increasing incidence among younger individuals. Simultaneously, the widespread adoption of smart wearable devices and the growing public awareness of health have facilitated early detection among younger patients. However, research focusing on this specific group remains relatively limited, posing numerous challenges in clinical practice. This article summarizes domestic and international studies on the epidemiology, risk factors, and treatment of young AF patients, highlighting the advantages of early rhythm control (particularly catheter ablation) in this group, in order to provide insights and reference for improving the management and prognosis of this population.

[1]
Patel NJ, Deshmukh A, Pant S, et al. Contemporary trends of hospitalization for atrial fibrillation in the United States, 2000 through 2010: implications for healthcare planning[J]. Circulation, 2014, 129(23): 2371-2379.
[2]
Sun T, Ye M, Lei F, et al. Prevalence and trend of atrial fibrillation and its associated risk factors among the population from nationwide health check-up centers in China, 2012-2017[J]. Front Cardiovasc Med, 2023, 10:1151575.
[3]
中华医学会老年医学分会心血管学组, 中国老年保健医学研究会老年心血管病分会. 老年心房颤动诊治中国专家共识(2024)[J]. 中华心律失常学杂志, 2024, 28(2):103-124.
[4]
Lotze U, Liebetrau J, Malsch I, et al. Medical treatment of patients with atrial fibrillation aged over 80 years in daily clinical practice: influence of age and CHADS(2) score[J]. Arch Gerontol Geriatr, 2010, 50(1):36-41.
[5]
Sankaranarayanan R, Kirkwood G, Dibb K, et al. Comparison of atrial fibrillation in the young versus that in the elderly: a review[J]. Cardiol Res Pract, 2013, 2013:976976.
[6]
Gourraud JB, Khairy P, Abadir S, et al. Atrial fibrillation in young patients[J]. Expert Rev Cardiovasc Ther, 2018, 16(7):489-500.
[7]
Shi S, Tang Y, Zhao Q, et al. Prevalence and risk of atrial fibrillation in China: a national cross-sectional epidemiological study[J]. Lancet Reg Health West Pac, 2022, 23:100439.
[8]
Deshmukh A, Pothineni NV, Patel N, et al. Trends in hospitalizations of young patients with atrial fibrillation: a cause for concern?[J]. Int J Cardiol, 2016, 203:164-165.
[9]
Pothineni NV K, Voruganti D, Agnihotri K, et al. Safety of atrial fibrillation ablation in the young – a real world analysis[J]. J Atr Fibrillation, 2021, 13(6): 20200489.
[10]
Cheng S, He J, Han Y, et al. Global burden of atrial fibrillation/atrial flutter and its attributable risk factors from 1990 to 2021[J]. Europace. 2024;26(7):euae195.
[11]
Goudevenos JA, Vakalis JN, Giogiakas V, et al. An epidemiological study of symptomatic paroxysmal atrial fibrillation in Northwest Greece[J]. Europace, 1999, 1(4):226-233.
[12]
Djekic D, Lindgren M, Åberg ND, et al. Body mass index in adolescence and long-term risk of early incident atrial fibrillation and subsequent mortality, heart failure, and ischemic stroke[J]. J Am Heart Assoc, 2022, 11(21):e025984.
[13]
Mattioli AV, Bonatti S, Zennaro M, et al. The relationship between personality, socio-economic factors, acute life stress and the development, spontaneous conversion and recurrences of acute lone atrial fibrillation[J]. Europace, 2005, 7(3):211-220.
[14]
Mattioli AV, Bonatti S, Zennaro M, et al. Effect of coffee consumption, lifestyle and acute life stress in the development of acute lone atrial fibrillation[J]. J Cardiovasc Med (Hagerstown), 2008, 9(8):794-798.
[15]
Paludan-Müller C, Vad OB, Stampe NK, et al. Atrial fibrillation: age at diagnosis, incident cardiovascular events, and mortality[J]. Eur Heart J, 2024, 45(24):2119-2129.
[16]
van Alebeek ME, Arntz RM, Ekker MS, et al. Risk factors and mechanisms of stroke in young adults: the FUTURE study[J]. J Cereb Blood Flow Metab, 2018, 38(9): 1631-1641.
[17]
Šaňák D, Hutyra M, Král M, et al. Atrial fibrillation in young ischemic stroke patients: an underestimated cause?[J]. Eur Neurol, 2015, 73(3-4):158-163.
[18]
Garrido‐Hernández T, Amaya‐Pascasio L, Quesada‐López M, et al. Atrial fibrillation in young stroke patients: associated factors and outcomes in a nationwide analysis[J]. Euro Neurol, 2025, 32(1): e16555.
[19]
Van Gelder IC, Rienstra M, Bunting KV, et al. 2024 ESC Guidelines for the management of atrial fibrillation developed in collaboration with the European Association for Cardio-Thoracic Surgery (EACTS)[J]. Eur Heart J, 2024, 45(36):3314-3414.
[20]
Putaala J, Yesilot N, Waje-Andreassen U, et al. Demographic and geographic vascular risk factor differences in European young adults with ischemic stroke: the 15 cities young stroke study[J]. Stroke, 2012, 43(10):2624-2630.
[21]
Lurie A, Wang J, Hinnegan KJ, et al. Prevalence of left atrial thrombus in anticoagulated patients with atrial fibrillation[J]. J Am Coll Cardiol, 2021, 77(23):2875-2886.
[22]
Chen J, Zhou M, Wang H, et al. Risk factors for left atrial thrombus or spontaneous echo contrast in non-valvular atrial fibrillation patients with low CHA2DS2-VASc score[J]. J Thromb Thrombolysis, 2022, 53(2):523-531.
[23]
Holmgren A, Giang KW, Fedchenko M, et al. Ischemic stroke in patients with congenital heart disease and atrial fibrillation[J]. J Am Heart Assoc, 2024, 13(17):e032813.
[24]
Hijazi Z, Siegbahn A, Andersson U, et al. High-sensitivity troponin I for risk assessment in patients with atrial fibrillation: insights from the Apixaban for Reduction in Stroke and other Thromboembolic Events in Atrial Fibrillation (ARISTOTLE) trial[J]. Circulation, 2014, 129(6):625-634.
[25]
Tanaka S, Hirai T, Inao K, et al. High cardiac troponin I is associated with transesophageal echocardiographic risk of thromboembolism and ischemic stroke events in non-valvular atrial fibrillation patients[J]. Circ J, 2018, 82(6):1699-1704.
[26]
Hijazi Z, Oldgren J, Andersson U, et al. Cardiac biomarkers are associated with an increased risk of stroke and death in patients with atrial fibrillation: a Randomized Evaluation of Long-term Anticoagulation Therapy (RE-LY) substudy[J]. Circulation, 2012, 125(13):1605-1616.
[27]
Hijazi Z, Lindbäck J, Alexander JH, et al. The ABC (age, biomarkers, clinical history) stroke risk score: a biomarker-based risk score for predicting stroke in atrial fibrillation[J]. Eur Heart J, 2016, 37(20):1582-1590.
[28]
Berg DD, Ruff CT, Jarolim P, et al. Performance of the ABC scores for assessing the risk of stroke or systemic embolism and bleeding in patients with atrial fibrillation in ENGAGE AF-TIMI 48[J]. Circulation, 2019, 139(6):760-771.
[29]
van den Ham HA, Klungel OH, Singer DE, et al. Comparative performance of ATRIA, CHADS2, and CHA2DS2-VASc risk scores predicting stroke in patients with atrial fibrillation: results from a national primary care database[J]. J Am Coll Cardiol, 2015, 66(17):1851-1859.
[30]
Dalgaard F, Pieper K, Verheugt F, et al. GARFIELD-AF model for prediction of stroke and major bleeding in atrial fibrillation: a Danish nationwide validation study[J]. BMJ Open, 2019, 9(11):e033283.
[31]
Huang H, Xiong Y, Yao Y, et al. Stroke prediction in elderly patients with atrial fibrillation using machine learning combined clinical and left atrial appendage imaging phenotypic features[J]. BMC Cardiovasc Disord, 2025, 25(1):400.
[32]
Aggarwal N, Selvendran S, Raphael CE, et al. Atrial fibrillation in the young: a neurologist's nightmare[J]. Neurol Res Int, 2015, 2015:374352.
[33]
Kirchhof P, Radaideh G, Kim YH, et al. Global prospective safety analysis of rivaroxaban[J]. J Am Coll Cardiol, 2018, 72(2):141-153.
[34]
Granger CB, Alexander JH, McMurray JJ, et al. Apixaban versus warfarin in patients with atrial fibrillation[J]. N Engl J Med, 2011, 365(11):981-992.
[35]
Guo X, Du J, Yang Y, et al. Edoxaban for stroke prevention in atrial fibrillation and factors associated with dosing: patient characteristics from the prospective observational ETNA-AF-China registry[J]. Sci Rep, 2024, 14(1):2778.
[36]
Eikelboom JW, Wallentin L, Connolly SJ, et al. Risk of bleeding with 2 doses of dabigatran compared with warfarin in older and younger patients with atrial fibrillation: an analysis of the randomized evaluation of long-term anticoagulant therapy (RE-LY) trial[J]. Circulation, 2011, 123(21):2363-2372.
[37]
中国医师协会心血管内科医师分会结构性心脏病学组, 苏州工业园区东方华夏心血管健康研究院. 中国经导管左心耳封堵术临床路径专家共识(2025版)[J/OL]. 中华心脏与心律电子杂志, 2025, 13(1): 1-28.
[38]
Holmes DR, Reddy VY, Turi ZG, et al. Percutaneous closure of the left atrial appendage versus warfarin therapy for prevention of stroke in patients with atrial fibrillation: a randomised non-inferiority trial[J]. Lancet, 2009, 374(9689):534-542.
[39]
Holmes DR, Kar S, Price MJ, et al. Prospective randomized evaluation of the Watchman left atrial appendage closure device in patients with atrial fibrillation versus long-term warfarin therapy: the PREVAIL trial[J]. J Am Coll Cardiol, 2014, 64(1):1-12.
[40]
Kerr C, Boone J, Connolly S, et al. Follow-up of atrial fibrillation: the initial experience of the Canadian registry of atrial fibrillation[J]. Eur Heart J, 1996, 17 (Suppl C):48-51.
[41]
Wasmer K, Breithardt G, Eckardt L. The young patient with asymptomatic atrial fibrillation: what is the evidence to leave the arrhythmia untreated?[J]. Eur Heart J, 2014, 35(22): 1439-1447.
[42]
中华医学会心血管病学分会, 中华心血管病杂志编辑委员会. 洋地黄类药物临床应用中国专家共识[J]. 中华心血管病杂志, 2019, 47(11): 857-864.
[43]
Andrade JG, Gin K, Kerr C, et al. How to optimize rate control in clinical atrial fibrillation management[J]. Can J Cardiol, 2013, 29(10):1299-1301.
[44]
Leng S, Zhao X, Koh AS, et al. Age-related changes in four-dimensional CMR-derived atrioventricular junction velocities and displacements: Implications for the identification of altered annular dynamics for ventricular function assessment[J]. Int J Cardiol Heart Vasc, 2019, 22:6-12.
[45]
Kaszala K, Ellenbogen KA. Role of cardiac resynchro- nization therapy and atrioventricular junction ablation in patients with permanent atrial fibrillation[J]. Eur Heart J, 2011, 32(19):2344-2346.
[46]
Curcio A, Scalise R, Indolfi C. Pathophysiology of atrial fibrillation and approach to therapy in subjects less than 60 years old[J]. Int J Mol Sci, 2024, 25(2):758.
[47]
Kirchhof P, Camm AJ, Goette A, et al. Early rhythm-control therapy in patients with atrial fibrillation[J]. N Engl J Med, 2020, 383(14):1305-1316.
[48]
Dagres N, Lewalter T, Lip GY, et al. Current practice of antiarrhythmic drug therapy for prevention of atrial fibrillation in Europe: the European Heart Rhythm Association survey[J]. Europace, 2013, 15(4):478-481.
[49]
Wyse DG, Waldo AL, DiMarco JP, et al. A comparison of rate control and rhythm control in patients with atrial fibrillation[J]. N Engl J Med, 2002, 347(23):1825-1833.
[50]
Van Gelder IC, Haegeli LM, Brandes A, et al. Rationale and current perspective for early rhythm control therapy in atrial fibrillation[J]. Europace, 2011, 13(11):1517-1525.
[51]
Freemantle N, Lafuente-Lafuente C, Mitchell S, et al. Mixed treatment comparison of dronedarone, amiodarone, sotalol, flecainide, and propafenone, for the management of atrial fibrillation[J]. Europace, 2011, 13(3):329-345.
[52]
Pappone C, Augello G, Sala S, et al. A randomized trial of circumferential pulmonary vein ablation versus antiarrhythmic drug therapy in paroxysmal atrial fibrillation: the APAF Study[J]. J Am Coll Cardiol, 2006, 48(11):2340-2347.
[53]
Stabile G, Bertaglia E, Senatore G, et al. Catheter ablation treatment in patients with drug-refractory atrial fibrillation: a prospective, multi-centre, randomized, controlled study (Catheter Ablation For The Cure Of Atrial Fibrillation Study)[J]. Eur Heart J, 2006, 27(2):216-221.
[54]
Jaïs P, Cauchemez B, Macle L, et al. Catheter ablation versus antiarrhythmic drugs for atrial fibrillation: the A4 study[J]. Circulation, 2008, 118(24):2498-2505.
[55]
Leong-Sit P, Zado E, Callans DJ, et al. Efficacy and risk of atrial fibrillation ablation before 45 years of age[J]. Circ Arrhythm Electrophysiol, 2010, 3(5):452-457.
[56]
Chun KR, Schmidt B, Kuck KH, et al. Catheter ablation of atrial fibrillation in the young: insights from the German ablation registry[J]. Clin Res Cardiol, 2013, 102(6): 459-468.
[57]
Saguner AM, Maurer T, Wissner E, et al. Catheter ablation of atrial fibrillation in very young adults: a 5-year follow-up study[J]. Europace, 2018, 20(1):58-64.
[58]
Ghannam M, Chugh A, Bradley DJ, et al. Clinical characteristics and long-term outcomes of catheter ablation in young adults with atrial fibrillation[J]. J Interv Card Electrophysiol, 2022, 64(2): 311-319.
[59]
Johnson BM, Wazni OM, Farwati M, et al. Atrial fibrillation ablation in young adults: measuring quality of life using patient-reported outcomes over 5 years[J]. Circ Arrhythm Electrophysiol, 2023, 16(6):e011565.
[60]
Ahn HJ, Cha MJ, Lee E, et al. The higher recurrence rate after catheter ablation in younger patients with atrial fibrillation suggesting different pathophysiology[J]. J Interv Card Electrophysiol, 2023, 66(7):1609-1619.
[61]
Joglar JA, Chung MK, Armbruster AL, et al. 2023 ACC/AHA/ACCP/HRS Guideline for the diagnosis and management of atrial fibrillation: a Report of the American College of Cardiology/American Heart Association Joint Committee on clinical practice guidelines[J]. J Am Coll Cardiol, 2024, 83(1):109-279.
[62]
中华医学会心血管病学分会, 中国生物医学工程学会心律分会. 心房颤动诊断和治疗中国指南[J]. 中华心血管病杂志, 2023, 51(6) : 572-618.
[63]
Schnabel RB, Yin X, Gona P, et al. 50 year trends in atrial fibrillation prevalence, incidence, risk factors, and mortality in the Framingham Heart Study: a cohort study[J]. Lancet, 2015, 386(9989):154-162.
[64]
Magnussen C, Niiranen TJ, Ojeda FM, et al. Sex differences and similarities in atrial fibrillation epidemiology, risk factors, and mortality in community cohorts: results from the BiomarCaRE consortium (Biomarker for Cardiovascular Risk Assessment in Europe)[J]. Circulation, 2017, 136(17):1588-1597.
[65]
Lu B, Huang B, Wang Y, et al. Mitochondrial calcium homeostasis mediated by estradiol contributes to atrial fibrillation protection[J]. Biochem Biophys Res Commun, 2025, 772:152050.
[66]
Kopecky SL, Gersh BJ, McGoon MD, et al. The natural history of lone atrial fibrillation. a population-based study over three decades[J]. N Engl J Med, 1987, 317(11):669-674.
[67]
Darbar D, Herron KJ, Ballew JD, et al. Familial atrial fibrillation is a genetically heterogeneous disorder[J]. J Am Coll Cardiol, 2003, 41(12):2185-2192.
[68]
Olesen MS, Andreasen L, Jabbari J, et al. Very early-onset lone atrial fibrillation patients have a high prevalence of rare variants in genes previously associated with atrial fibrillation[J]. Heart Rhythm, 2014, 11(2):246-251.
[69]
Andrade J, Khairy P, Dobrev D, et al. The clinical profile and pathophysiology of atrial fibrillation: relationships among clinical features, epidemiology, and mechanisms[J]. Circ Res, 2014, 114(9):1453-1468.
[70]
Abed HS, Wittert GA, Leong DP, et al. Effect of weight reduction and cardiometabolic risk factor management on symptom burden and severity in patients with atrial fibrillation: a randomized clinical trial[J]. JAMA, 2013, 310(19):2050-2060.
[71]
Gami AS, Hodge DO, Herges RM, et al. Obstructive sleep apnea, obesity, and the risk of incident atrial fibrillation[J]. J Am Coll Cardiol, 2007, 49(5):565-571.
[72]
Kanagala R, Murali NS, Friedman PA, et al. Obstructive sleep apnea and the recurrence of atrial fibrillation[J]. Circulation, 2003, 107(20):2589-2594.
[73]
Hunt TE, Traaen GM, Aakerøy L, et al. Effect of continuous positive airway pressure therapy on recurrence of atrial fibrillation after pulmonary vein isolation in patients with obstructive sleep apnea: a randomized controlled trial[J]. Heart Rhythm, 2022, 19(9): 1433-1441.
[74]
Ofman P, Khawaja O, Rahilly-Tierney CR, et al. Regular physical activity and risk of atrial fibrillation: a systematic review and meta-analysis[J]. Circ Arrhythm Electrophysiol, 2013, 6(2):252-256.
[75]
Abdulla J, Nielsen JR. Is the risk of atrial fibrillation higher in athletes than in the general population? a systematic review and meta-analysis[J]. Europace, 2009, 11(9): 1156-1159.
[76]
Garnvik LE, Malmo V, Janszky I, et al. Physical activity, cardiorespiratory fitness, and cardiovascular outcomes in individuals with atrial fibrillation: the HUNT study[J]. Eur Heart J, 2020, 41(15):1467-1475.
[77]
Csengeri D, Sprünker NA, Di Castelnuovo A, et al. Alcohol consumption, cardiac biomarkers, and risk of atrial fibrillation and adverse outcomes[J]. Eur Heart J, 2021, 42(12):1170-1177.
[78]
Lee SR, Choi EK, Jung JH, et al. Lower risk of stroke after alcohol abstinence in patients with incident atrial fibrillation: a nationwide population-based cohort study[J]. Eur Heart J, 2021, 42(46):4759-4768.
[79]
Voskoboinik A, Kalman JM, De Silva A, et al. Alcohol Abstinence in Drinkers with Atrial Fibrillation[J]. N Engl J Med, 2020, 382(1):20-28.
[80]
Xue X, Hu J, Xiang D, et al. Hourly air pollution exposure and the onset of symptomatic arrhythmia: an individual-level case-crossover study in 322 Chinese cities[J]. CMAJ, 2023, 195(17):E601-E611.
[81]
Fu Y, He W, Ma J, et al. Relationship between psychological factors and atrial fibrillation: a meta-analysis and systematic review[J]. Medicine (Baltimore), 2020, 99(16):e19615.
[82]
Soliman EZ, Rahman AF, Zhang ZM, et al. Effect of intensive blood pressure lowering on the risk of atrial fibrillation[J]. Hypertension, 2020, 75(6):1491-1496.
[83]
Galzerano D, Di Michele S, Paolisso G, et al. A multicentre, randomized study of telmisartan versus carvedilol for prevention of atrial fibrillation recurrence in hyper- tensive patients[J]. J Renin Angiotensin Aldosterone Syst, 2012, 13(4):496-503.
[84]
Basic C, Rosengren A, Alehagen U, et al. Young patients with heart failure: clinical characteristics and outcomes. data from the Swedish heart failure, national patient, population and cause of death registers[J]. Eur J Heart Fail, 2020, 22(7):1125-1132.
[85]
Di Biase L, Mohanty P, Mohanty S, et al. Ablation versus amiodarone for treatment of persistent atrial fibrillation in patients with congestive heart failure and an implanted device: results from the AATAC multicenter randomized trial[J]. Circulation, 2016, 133(17): 1637-1644.
[86]
Marrouche NF, Brachmann J, Andresen D, et al. Catheter ablation for atrial fibrillation with heart failure[J]. N Engl J Med, 2018, 378(5):417-427.
[87]
Kany S, Jurgens SJ, Rämö JT, et al. Genetic testing in early-onset atrial fibrillation[J]. Eur Heart J, 2024, 45(34):3111-3123.
[88]
Mizia-Stec K, Caforio A, Charron P, et al. Atrial fibrillation, anticoagulation management and risk of stroke in the cardiomyopathy/myocarditis registry of the EURObservational Research Programme of the European Society of Cardiology[J]. ESC Heart Fail, 2020, 7(6):3601-3609.
[89]
Mandalenakis Z, Rosengren A, Lappas G, et al. Atrial fibrillation burden in young patients with congenital heart disease[J]. Circulation, 2018, 137(9): 928-937.
[90]
Bouchardy J, Therrien J, Pilote L, et al. Atrial arrhythmias in adults with congenital heart disease[J]. Circulation, 2009, 120(17): 1679-1686.
[91]
Echouffo-Tcheugui JB, Shrader P, Thomas L, et al. Care Patterns and outcomes in atrial fibrillation patients with and without diabetes: ORBIT-AF registry[J]. J Am Coll Cardiol, 2017, 70(11):1325-1335.
[92]
Huxley RR, Filion KB, Konety S, et al. Meta-analysis of cohort and case-control studies of type 2 diabetes mellitus and risk of atrial fibrillation[J]. Am J Cardiol, 2011, 108(1):56-62.
[93]
Guo S, Huang Y, Liu X, et al. Association of type 1 diabetes mellitus and risk of atrial fibrillation: systematic review and meta-analysis[J]. Diabetes Res Clin Pract, 2023, 199:110629.
[94]
Li D, Liu Y, Hidru TH, et al. Protective effects of sodium-glucose transporter 2 inhibitors on atrial fibrillation and atrial flutter: a systematic review and meta- analysis of randomized placebo-controlled trials[J]. Front Endocrinol (Lausanne), 2021, 12:619586.
[95]
Ahmad M, Reddy S, Barkhane Z, et al. Hyperthyroidism and the risk of cardiac arrhythmias: a narrative review[J]. Cureus, 2022, 14(4):e24378.
[96]
Reddy V, Taha W, Kundumadam S, et al. Atrial fibrillation and hyperthyroidism: a literature review[J]. Indian Heart J, 2017, 69(4):545-550.
[97]
Guo Y, Wang H, Zhang H, et al. Mobile photo- plethysmographic technology to detect atrial fibrillation[J]. J Am Coll Cardiol, 2019, 74(19):2365-2375.
[98]
Krivoshei L, Weber S, Burkard T, et al. Smart detection of atrial fibrillation[J]. Europace, 2017, 19(5):753-757.
[99]
Lopez Perales CR, Van Spall H, Maeda S, et al. Mobile health applications for the detection of atrial fibrillation: a systematic review[J]. Europace, 2021, 23(1):11-28.
[100]
Segev A, Maor E, Goldenfeld M, et al. Atrial fibrillation in young hospitalized patients: clinical characteristics, predictors of new onset, and outcomes[J]. J Cardiol, 2023, 82(5):408-413.
[1] 周文考, 张佳坡, 黄培培, 潘艺梅, 朱琳, 李诗睿, 孙慧敏. 多种机器学习算法比较下急性左心衰竭患者住院期间死亡风险预测模型的构建与外部验证[J/OL]. 中华危重症医学杂志(电子版), 2026, 19(03): 198-207.
[2] 刘洵, 毕亮, 郎韧, 吴安石. 同种异体原位肝移植术后早期死亡的危险因素分析[J/OL]. 中华普通外科学文献(电子版), 2026, 20(03): 150-156.
[3] 李浩, 李宝金, 陈伟锋. 肝细胞癌开腹肝切除术后感染性并发症的高危因素分析[J/OL]. 中华普通外科学文献(电子版), 2026, 20(03): 157-160.
[4] 张彬, 王敏, 郑鹏, 冯犁, 李鑫, 赵高平. 早期胃癌淋巴结转移的危险因素及预后分析[J/OL]. 中华普外科手术学杂志(电子版), 2026, 20(04): 337-342.
[5] 杨敏, 杜峻峰, 辛林璞. 腹腔镜胃癌根治术后常见并发症防治与管理[J/OL]. 中华普外科手术学杂志(电子版), 2026, 20(04): 352-355.
[6] 辛林璞, 杨敏, 杜峻峰. 腹腔镜结直肠癌根治术后常见并发症防治与管理[J/OL]. 中华普外科手术学杂志(电子版), 2026, 20(03): 248-251.
[7] 谢吉艳, 江志鹏, 何立锐. 复发性腹壁疝的危险因素及治疗策略[J/OL]. 中华疝和腹壁外科杂志(电子版), 2026, 20(04): 471-476.
[8] 陶俊, 黄敏洁, 陈香, 曹磊, 徐俊伟. 炎性复合指标对慢性阻塞性肺疾病并发心房颤动风险的预测价值[J/OL]. 中华肺部疾病杂志(电子版), 2026, 19(04): 657-662.
[9] 王平, 郝天骄, 陈兴宇, 翟俊, 朱文伟, 陈季松. 急性坏疽性胆囊炎临床风险预测模型的建立与验证[J/OL]. 中华肝脏外科手术学电子杂志, 2026, 15(05): 760-767.
[10] 郭洋洁, 杨培, 曾新桃, 史瑞籽, 唐易平. 肝内胆管结石肝切除术后胆漏的危险因素分析及预测模型建立与验证[J/OL]. 中华肝脏外科手术学电子杂志, 2026, 15(05): 783-790.
[11] 方荣焕, 孟子凡, 李馥彤, 鹿云皓, 杨永生. 肝硬化门静脉高压症脾切除术后并发症研究进展[J/OL]. 中华肝脏外科手术学电子杂志, 2026, 15(04): 642-647.
[12] 高韶华, 徐涛, 宋亮, 雷丽, 王洪伟, 刘宏新. 1994—2023年中国结直肠癌疾病年龄-时期-队列效应及危险因素归因分析——基于GBD 2023研究[J/OL]. 中华结直肠疾病电子杂志, 2026, 15(04): 321-330.
[13] 韩一梅, 冯仕川, 陈志娟. 高脂血症性急性胰腺炎复发的危险因素及其列线图预测模型构建[J/OL]. 中华消化病与影像杂志(电子版), 2026, 16(03): 222-228.
[14] 程大伟, 梁海. 基于Logistic回归的结肠憩室病并发风险预警模型及其价值研究[J/OL]. 中华消化病与影像杂志(电子版), 2026, 16(03): 229-235.
[15] 陈陆静, 李飞燕, 李庄, 曹亚聪, 冀晓慧, 陈慧, 郭义红, 周萍. 胎儿生长受限孕妇血栓前状态与妊娠结局的研究[J/OL]. 中华产科急救电子杂志, 2026, 15(03): 167-174.
阅读次数
全文


摘要


AI
小
编
AI小编
你好!我是《中华医学电子期刊资源库》AI小编,有什么可以帮您的吗?