高血压与心房颤动的关系

Hypertension and Atrial Fibrillation

高血压是心房颤动最常见的可逆危险因素。两者相互依存,显著增加心脑血管不良事件发生风险。越来越多的证据表明,控制可逆危险因素可能是心房颤动一级和二级预防的关键。虽然高血压和心房颤动的密切关系众所周知,但具体机制仍不完全清楚。现结合最新相关研究进展,拟从高血压合并心房颤动的发生风险、病理生理机制和血压控制对心房颤动患者预后的影响三方面,对高血压与心房颤动的关系进一步探讨,以期对临床诊疗提供理论支持。

Hypertension is the most common and reversible risk factor for atrial fibrillation.Hypertension and atrial fibrillation are closely related and interdependent,which significantly increases the risk of cardiovascular and cerebrovascular adverse events.There is increasing evidence that controlling reversible risk factors may be the key to primary and secondary prevention of atrial fibrillation.Although the relationship between hypertension and atrial fibrillation is well known,the exact mechanism is still not entirely clear.Combined with the latest relevant research progress,this article intends to further explore the relationship between hypertension and atrial fibrillation from three aspects,namely the risk of hypertension associated with atrial fibrillation,the pathophysiological mechanism,and the influence of blood pressure control on the prognosis of patients with atrial fibrillation,in order to provide theoretical support for clinical diagnosis and treatment.