摘要
目的：调查房颤（AF）的流行病学、初级保健负荷和治疗。设计：纳入2001年4月至2002年3月间参与苏格兰连续患病记录计划的初级保健机构，获取横断面资料。地点：55个初级保健机构（362155例患者）。参与者：3135例AF患者。结果：在苏格兰，AF的患病率在男性中为9．4／1000，女性中为7．9／1000（P〈0．001），且随着年龄的增长而增加（年龄〉85岁的个体中为71／1000）。AF患病率随着社会经济匮乏的增高而减少（最小匮乏人群为9．2／1000，最大匮乏人群为7．5／1000，趋势P=0．02）。71％的AF患者接受了心率控制治疗：28％采用β阻断剂，42％为控制心率的钙通道阻断剂，43％为地高辛。
Objective： To examine the epidemiology, primary care burden and treatment of atrial fibrillation （AF） . Design： Cross-sectional data from primary care practices participating in the Scottish Continuous Morbidity Recording scheme between April 2001 and March 2002. Setting： 55 primary care practices （362 155 patients） . Participants： 3135 patients with AF. Results： The prevalence of AF in Scotland was 9.4/1000 in men and 7.9/1000 in women （p 〈0. 001） and increased with age（to 71/1000 in individuals aged 〉 85 years） The prevalence of AF decreased with increasing socioeconomic deprivation （9.2/ 1000 least deprived and 7.5/1000 most deprived cate- gory, p =0. 02 for trend） . 71% of patients with AFre- ceived rate-controlling medication： 13-blocker 28%, rate-limiting calcium-channel blocker 42% and digoxin 43%. 42% of patients received warfarin, 44% received aspirin and 78% receeved more than one of these.
