【摘要】 目的分析慢性心力衰竭合并心房颤动住院病例的特点。方法采用2中心、回顾性、对照研究。对病例在年代(Ⅰ、Ⅱ、Ⅲ组)、性别、年龄分期等方面的特点进行分析。结果入选1 410例,年龄呈现老龄化(P<0.01)。心功能以NYHAⅢ、Ⅳ级为主,占87.9%。Ⅰ和Ⅱ组的首位病因是风湿性心脏病,Ⅲ组则是冠心病。随着年龄的增加,女性患者心房颤动比例减少。老年前期首位病因是风湿性心脏病,老年期和高龄老年期则为冠心病。总的好转率82.9%,总的病死率12.6%,后者以Ⅲ组最低(P<0.01)。死亡病例的首位病因逐渐由风湿性心脏病演变为冠心病,死因以非心脏性原因死亡居多,其次为心功能恶化。结论慢性心力衰竭合并心房颤动住院病例的首位病因从风湿性心脏病演变为冠心病;高龄、冠心病合并心房颤动可能逐渐成为慢性心力衰竭的主要流行趋势。更多还原

【Abstract】 Objective To investigate the characteristics of inpatients with atrial fibrillation in chronic heart failure.Methods Two centers was enrolled.The clinical characteristics was analyzed retrospectively by decades, sex and age stages etc.Results The inpatients’ age became older in the 3 groups(P<0.01).Cardiac functions on admission were mostly grade NYHAⅢ and Ⅳ,accounted for 87.9%.The top cause of groupⅠ and Ⅱ was rheumatic heart disease(RHD).However,the top cause of group Ⅲ was coronary heart disease(CHD).The rate of female cases complicated with atrial fibrillation increased gradually with the increase of age.RHD was the top cause in pre-senile group,while CHD was the top etiology in old group and very old group.The total improvement and mortality rate of the cases during hospitalization were 82.9% and 12.6%,and the mortality became the lowest in group Ⅲ.Like the distribution tendency of the whole cases,the top cause of the death cases changed from RHD to CHD.The first death cause of the cases was non cardiac death such as respiratory failure or respiratory and circulation failure from organ embolism and pulmonary infection etc.Conclusion The major cause of atrial fibrillation in chronic heart failure of inpatients has shifted from RHD to CHD.Coexistence of ageing,CHD with atrial fibrillation is the most important characteristics of the chronic heart failure in future.更多还原