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虽然大多数患者的心房纤颤(AF)是发生在器质性心脏病的基础上,但也有小部分AF 患者无器质性心血管疾病或周身性疾病基础可寻,文献称此类 AF 为“孤独性”AF、“特发性”AF 或“伴正常心脏的”AF。此类 AF在临床似不少见,但国内外文献却很少对此类 AF 作专题论述。本文试图就这一类型的AF 作初步临床分析。鉴于在中、老年人中确定或排除冠心病常有相当困难,故本文除2例(均为51岁)外,将50岁作为本组诊断“特发性”房颤(IAF)的最高年限,在此条件下根据下列标准诊断:
Although the majority of patients with atrial fibrillation (AF) is based on organic heart disease, but also a small number of patients with AF without organic cardiovascular disease or the basis of the whole body disease can be found, the literature that such AF “Autism ” AF, “idiopathic ” AF or “with normal heart ” AF. Such AF is not uncommon in clinical practice, but few domestic and foreign literature on such AF special subject. This article attempts to make a preliminary clinical analysis of this type of AF. Given that it is often difficult to identify or rule out coronary heart disease among the elderly and middle-aged adults, this study included 50 years as the diagnostic “idiopathic” atrial fibrillation (IAF) except 2 patients (both 51 years old) The maximum age is based on the following criteria in this condition: