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心房纤颤(AF)是最常见的心律失常,增加患者的合并症和死亡。脉压(PP)增加是动脉硬化的标志,文献报道,PP是美国成年人AF独立的重要危险因素,为测试这一结论,本研究对350例基线无AF的T2DM患者随访10年,入组时均排除AF、心房扑动、甲状腺机能亢进、心瓣膜病及服用抗心律失常药史,每6～12个月进行血糖控制水平、糖尿病慢性并发症及心电图(12导联)检查,随访期间由同一名心血管病专家作出AF或心房扑动诊断。结果显示,10年累计有32例(9.1%)发生AF。如果
Atrial fibrillation (AF) is the most common arrhythmia that increases the patient’s comorbidities and deaths. Increased pulse pressure (PP) is a marker of atherosclerosis. It has been reported in the literature that PP is an independent risk factor for AF in adults in the United States. To test this conclusion, 350 patients with baseline T2DM without AF were followed up for 10 years, When excluding AF, atrial flutter, hyperthyroidism, valvular heart disease and taking antiarrhythmic drug history, every 6 to 12 months for the level of blood glucose control, chronic complications of diabetes and ECG (12 leads) check, during follow-up AF or atrial flutter is diagnosed by the same cardiologist. The results showed that in 10 years a total of 32 cases (9.1%) occurred AF. in case