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高血压的患病率随年龄增长而增加,与此同时心房颤动的患病率也增加,因此高血压伴有心房颤动的患者并不少见~([1])。多项临床研究已经观察到高血压增加心房颤动患者脑卒中和血栓事件的发生率~([2]),同时血压控制不良可恶化心房颤动~([3-4])、降低复律的成功率~([5])。研究还观察到在心房颤动合并心力衰竭的患者中,心脏同步化治疗后收缩压增加≥5 mm Hg(1mm Hg=0.133kPa)者,具有更好的长期预后~([6])。
The prevalence of hypertension increases with age, and at the same time the prevalence of atrial fibrillation increases, so it is not uncommon for hypertension to be associated with atrial fibrillation (1). A number of clinical studies have observed that stroke increases the incidence of stroke and thromboembolic events in patients with atrial fibrillation [2], while poor blood pressure control can worsen atrial fibrillation (3-4) and reduce the success of cardioversion Rate ~ ([5]). The study also observed better long-term outcomes in patients with atrial fibrillation and heart failure with systolic blood pressure ≥5 mm Hg (1 mm Hg = 0.133 kPa) after cardiac synchronization therapy.