房颤患者易发生致命车祸 - Irregular heartbeat may be deadly in car crash-华东公共卫生
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房颤患者易发生致命车祸

Irregular heartbeat may be deadly in car crash

[日期:2016-06-11] 来源:合众国际社  作者:华东公共卫生 编译 [字体: ]
为了健康

房颤患者可能发生致命的车祸

    (摘要)新的研究表明,房颤(心律紊乱)可能导致车祸。患者车祸中死亡的几率更大。
      在这项研究中,德斯穆克和他的同事们分析了美国医院在2003年和2012年之间近300万的司机,乘客和卷入事故路人的数据。经调整年龄,性别,受伤严重程度和现有的健康问题等因素,房颤患者的死亡率是7.6%。研究人员还发现房颤病患事故受害者死亡率要高1.5倍。
      研究者在欧洲心脏病学协会新闻发布会上说“这是一个回顾性调查研究,需要进一步的研究证实,但应该建议心房纤维性颤动患者停止驾驶”。

FRIDAY, June 10, 2016 -- Having the common heart rhythm disorder atrial fibrillation might be risky if you get into a car accident, a new study suggests.
Atrial fibrillation is a quivering or irregular heartbeat. Researchers report the condition is linked to higher chances of dying if you're in a crash, although their study didn't prove a cause-and-effect relationship.
"Atrial fibrillation is the most common heart rhythm disorder, and incidence is rising. Many of these patients are on anticoagulants to lower their stroke risk, but these drugs increase the chance of bleeding," said study author Dr. Abhishek Deshmukh, a cardiologist at the Mayo Clinic in Rochester, Minn.
However, "we should not jump the gun and advise patients with atrial fibrillation to stop driving. This was a retrospective observational study and needs to be confirmed by further research," he said in an European Society of Cardiology news release.
In the study, Deshmukh and his colleagues analyzed data from nearly 3 million drivers, passengers and bystanders who were involved in a traffic crash and admitted to U.S. hospitals between 2003 and 2012. Of those patients, 2.6 percent had atrial fibrillation.
Death rates were 7.6 percent for those with atrial fibrillation and 2.6 percent for those without the condition. After adjusting for factors such as age, gender, injury severity and existing health problems, the researchers still found crash victims with atrial fibrillation had a 1.5 times higher risk of dying in the hospital than those without the disorder.
The researchers also found that the average hospital stay after a traffic crash was nine days for those with atrial fibrillation and only six days for those without the condition. The average cost of hospital stay was $28,217 for those with atrial fibrillation, and $19,615 for those without.
"There is limited information about the impact of atrial fibrillation on daily activities such as driving. This is the first study to investigate the effect of atrial fibrillation on death and length of hospital stay after a motor vehicle accident," Deshmukh said.
"Atrial fibrillation is associated with higher mortality, length of stay and cost when patients are hospitalized for bypass surgery, hip replacement or heart failure. Our research shows that atrial fibrillation is also associated with worse outcomes in patients involved in motor vehicle accidents," Deshmukh said.
The study was to be presented Friday at a cardiology meeting in Nice, France. Research presented at medical meetings is considered preliminary until it is published in a peer-reviewed journal.

More information
The U.S. National Heart, Lung, and Blood Institute has more about atrial fibrillation.

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