知识更新：关于房颤和卒中的理解Survey of Atrial Fibrillation and Stroke

pingchi1983

HRS/NSA 2014SurveyofAtrialFibrillationandStroke:
Gaps in Knowledge and Perspective,Opportunities for Improvement
David S.Frankel,MD,FHRS,* Sarah E.Parker,MD,† Lynda
While AF patients(n ¼ 499) had limited knowledge about stroke,they expressed great desire to learn more and take action to reduce their risk.They were often dissatisfied with the education they had received and desired high-quality written materials. Stroke survivors(n ¼ 251) had poor functional outcomes and often underestimated the burden of caring for them.Caregivers(n ¼ 203) also wished they had received more information about reducing stroke risk before their survivor’s event.
房颤病人对脑卒中的知识了解甚少，他们迫切希望能够更多地了解疾病从而减少卒中的风险。然而现有的资料常常令人很不满意，他们急需高质量的教材。另一方面，卒中幸存者功能预后不佳，陪护负担也重，因此，护理照料人士也希望能防患于未然。


They commonly felt overwhelmed and socially isolated.Physicians(n ¼ 504) did
not prescribe anticoagulants as frequently as recommended by guidelines. Concerns about monitoring anticoagulation and patient compliance were commonly reported barriers.Physicians may underestimate patient willingness to take anticoagulants.
房颤病人通常感到不堪重负，身心孤独，医师们往往不按指南推荐频繁给予抗凝药物治疗。最常见的阻力是检测抗凝功能和病人的依从性，医师们可能低估了病人愿意服药的决心。


CONCLUSION We identified significant knowledge gaps among patients, caregivers,and physicians in relation to AF and stroke.Furthermore, gaps in perspective often lead to suboptimal communication and decision making.Increased education and better
communication between all stake holder are needed to reduce the impact
结论：我们确认了在病人、照料者、医师之间对于房颤和卒中的关系理解差异，而正是这些差异导致了不好的沟通和不良的决定，因此需要更多的教育和彼此沟通才会减轻影响。

pingchi1983

tips：
1/4 :  根据FRAMINGHAM 心脏组织的预测，40岁以上患房颤的几率大概是25%。

4倍：房颤使得单纯的缺血性脑卒中风险增加4倍多，死亡和严重残疾的几率大大增加。

64%：在美国，只有64%的人懂得会增加中风的风险，而且无症状的房颤常常被误认为风险不大。

也只有64%的人遵循指南口服用药

jerryzhjj

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