Article(id=1203053371189064040, tenantId=1146029695717560320, journalId=1189873630562394117, issueId=1203053366290113441, articleNumber=null, orderNo=null, doi=10.11855/j.issn.0577-7402.2023.03.0355, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=research-article, receivedDate=1636992000000, receivedDateStr=2021-11-16, revisedDate=null, revisedDateStr=null, acceptedDate=1641139200000, acceptedDateStr=2022-01-03, onlineDate=1764759875341, onlineDateStr=2025-12-03, pubDate=1679932800000, pubDateStr=2023-03-28, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1764759875341, onlineIssueDateStr=2025-12-03, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1764759875341, creator=13701087609, updateTime=1764759875341, updator=13701087609, issue=Issue{id=1203053366290113441, tenantId=1146029695717560320, journalId=1189873630562394117, year='2023', volume='48', issue='3', pageStart='245', pageEnd='366', issueExtLink='null', onlineDate='null', pubDate='null', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=0, createTime=1764759874174, creator=13701087609, updateTime=1764810242575, updator=13701087609, preIssue=null, nextIssue=null, ext={EN=IssueExt(id=1203264626747220064, tenantId=1146029695717560320, journalId=1189873630562394117, issueId=1203053366290113441, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1203264626747220065, tenantId=1146029695717560320, journalId=1189873630562394117, issueId=1203053366290113441, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null}, startPage=355, endPage=359, ext={EN=ArticleExt(id=1203053371591717242, articleId=1203053371189064040, tenantId=1146029695717560320, journalId=1189873630562394117, language=EN, title=Research progress on atrial fibrillation complicated with chronic obstructive pulmonary disease, columnId=1190243275882729994, journalTitle=Medical Journal of Chinese People’s Liberation Army, columnName=Review, runingTitle=null, highlight=null, articleAbstract=
Chronic obstructive pulmonary disease (COPD) is one of the most common comorbidities in patients with atrial fibrillation, and the both diseases share a series of common risk factors. COPD promotes the occurrence and development of atrial fibrillation by variety of pathophysiological mechanisms, is the important factor affecting the prognosis of patient with atrial fibrillation, and results in an elevation of clinical adverse and cardiovascular death events. Atrial fibrillation also affects the treatment strategy and prognosis of COPD patients. Treatment plan for patients with both atrial fibrillation and COPD faced huge challenging.The research findings of home and abroad related to atrial fibrillation complicated with COPD were summarized in present paper from the aspects of epidemiology, pathophysiology mechanism, patient management, outcome and prognosis, in order to provide help for the integrated multidisciplinary management and individualized treatment for these patients.
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慢性阻塞性肺疾病(COPD)是心房颤动(简称房颤)患者常见的并发症之一,二者具有多项共同易患因素。一方面,COPD通过多种病理生理机制促进房颤的发生、发展,是影响房颤患者预后的重要因素,可导致患者临床不良事件和心血管病死亡风险增加;另一方面,合并房颤同样影响COPD患者的治疗策略及预后。因此,房颤合并COPD使患者的治疗面临极大挑战。本文总结近年来国内外关于房颤合并COPD的相关研究成果,从流行病学特点、病理生理学机制、患者管理、转归及预后等方面进行综述,以期为房颤合并COPD患者的多学科综合管理和个体化治疗提供帮助。
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王东旭,博士研究生,主要从事心律失常方面的临床研究
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