【摘要】 心房颤动(AF)是最常见的心律失常,是脑梗死的独立危险因素,抗凝治疗能有效减少AF患者卒中的风险。阵发性AF(p AF)并不少见,其发生心源性脑梗死的风险与慢性AF相似,发现p AF并不容易。为此,近几年先后提出了STAF评分、LADS评分、Fujii等制定的评分、i PAB评分,预测急性脑梗死后AF,以提高急性脑梗死后AF的检出率。还有一些专门针对急性脑梗死后诊断p AF的方法,如延长心电监测时间、经食管超声心动图、实时三维经食管超声心动图和预测p AF无创多参数评分。这些预测急性脑梗死后AF尤其是p AF的评分和方法各有优劣。更多还原

【Abstract】 Atrial fibrillation( AF),the most common arrhythmia,is an independent risk factor of cerebral infarction,the risk of which can be reduced by anticoagulation. AF especially paroxysmal AF( p AF),is not detected easily,and its risk of causing cerebral infarction is similar to chronic AF. Therefore,score for the targeting of atrial fibrillation( STAF),left atrial diameter score( LADS) Fujii scording,i PAG scoring to predict AF after acute stroke to improve the detection rate. Also,some other methods can help to predict AF,for example,prolonging electrocardiogram monitoring,transesophageal echocardiography,real-time three-dimensional transesophageal echocardiography,and non-invasive multiple-parameter score. All these methods each has own advantages and disadvantages in predicting AF,especially p AF after acute cerebral infarction.更多还原