原作者： 肖锋（Feng Xiao） 文章来源： 中华急诊医学杂志编辑部 发布日期：2013-05-11
Title：Risk factors for atrial fibrillation
题目：对房颤危险因素的新认识
author 作者：肖锋 （Feng Xiao）
A proper understanding of the risk factors associated with atrial fibrillation (AF) development may potentially decrease the risk of AF.
正确理解与心房颤动（AF）的发展相关联的风险因素会减少房颤的风险。
1. Metabolic syndrome- Patients with metabolic syndrome have demonstrated a higher risk of AF.
代谢综合征－代谢综合征患者已被证明有很高的AF风险。
2. Obstructive sleep apnea- Patients with severe obstructive sleep apnea (OSA) and AF may have a decreased response to antiarrhythmic drug therapy compared with patients with no OSA or less severe OSA and may be at a higher risk for AF ablation failure.
阻塞性睡眠呼吸暂停（OSA）－与无OSA或不太严重的OSA，重度OSA伴AF患者对抗心律失常药物治疗的反应有下降并很有可能使房颤消融治疗失败。
3. Alcohol- The relationship between alcohol use and the development of AF is dose dependent, with higher amounts of alcohol associated with increased risk of AF and probably some increase in AF even at low doses of alcohol.
酒精－使用酒精和产生AF之间的关系是与剂量相关的，较高量的酒精科增加AF的危险，即使低剂量的酒精也可能会增加AF的风险。
4. Exercise- Extreme exercise has been linked to potential cardiotoxicity, including an increased risk of AF.
锻炼－极限运动已被证实具有潜在的心脏毒性，包括增加AF风险。
5. Vitmin D- Excessive vitamin D intake (>100ng/ml) may be associated with an increased risk of AF.
维生素D－过量的维生素D摄入（>100ng/ml），可增加AF风险 。
6. Omega-3 polyunsaturated fatty acids- The role of omega-3 polyunsaturated fatty acids in setting of AF is controversial. Although some studies demonstrate a lower incidence of AF recurrence with omega-3 polyunsaturated fatty acids use, others have shown an increased risk.
Omega－3多不饱和脂肪酸－Omega-3多不饱和脂肪酸对AF的作用是有争议的。一些研究表明，omega-3多不饱和脂肪酸的使用可降低AF危险，但有些文献却报告AF风险有增加。
7. Coffee and tea- Drinking moderate coffee and tea does not cause AF and may even decrease its occurrence.
咖啡和茶－饮用适量的咖啡和茶，不会造成AF，甚至可能降低其发生。
Reference 参考文献: Mayo Clin Proc 2013;88(4):394-409.
