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認識心房顫動

及早檢查心跳，
守護自然的健康心律

心房顫動 (又稱「房顫」) 是一種常見的心臟疾病。患者心臟上腔的各個地方會發出紊亂的電波，導致心律不規則，而且心跳往往過快(心律不正)。^1–3

不少房顫症狀與其他疾病的病徵相同，如胃酸倒流、焦慮等。如有以下任何症狀⋯⋯

心房顫動的症狀

房顫與診斷

通常，房顫篩查的第一步是檢查你的脈搏 (脈搏觸診)。醫生可能會在診症時為你觸診⋯⋯

心房顫動的篩查與診斷

每個人都有機會患上房顫，有些因素更可能增加患病的風險⋯⋯

心房顫動的成因

進行評估後，你的醫生可能會與你商討抗凝血藥是否適合你﹔如果適合，再進⋯⋯

專題文章

心房顫動引發中風危機

偶爾莫名感到心跳過速、紊亂，有時還感覺呼吸不順、暈眩、四肢無力，別以為身體無大礙，事實卻可能是心房顫動（下稱「房顫」）的徵兆，也可能衍生成為中風的潛在危機。心臟科專科醫生李樹堅指，醫學研究數據顯示一至兩成中風患者都是曾經有過房顫的發生，可知房顫是引發中風的一個重要危險因素。

醫生拆解
房顫、中風、認知障礙症之關連

心房顫動（下稱房顫）是引發中風的重要危險因素之一。據醫學文獻指出，房顫患者中風的風險比一般人高出5倍；而腦中風亦可誘發血管性認知障礙症。究竟房顫、中風、認知功能障礙三者之間有什麼關連？

Heart Health:
Are you over-exercising?

Doing exercise is always a good thing, right? Not necessarily, says Cardiologist DR ADRIAN CHEONG. What’s important for your heart health is doing the appropriate exercise for you as an individual.

On the Frontline
of the Pandemic

When COVID-19 emerged, respiratory medicine specialist DR CHRISTOPHER K M HUI found his already dynamic working life become even more intense. Having juggled daily roles in both Hong Kong and Shenzhen for seven years, he now found he was needed for crucial pandemic-related work across both locations. He shares his story below.

Health Help:
Veins and blood clots

We learn more about VTE, a potentially deadly yet mostly preventable medical condition, from Dr Herman Sung-Yu Liu. He’s a specialist in haematology and haematological oncology at Hong Kong’s Premier Medical Centre.

藥物治療

如已被確診患上房顫，病人可能需要接受治療來減低中風的風險，並同時服用藥物及／或接受醫療程序，以治療房顫或其潛在病因。在此情況下，醫生可能會處方一種名為「口服抗凝血藥」的藥物（又常稱為「薄血藥」）。⁴

注意事項

正在服用抗凝血藥的病人可能會較容易出血。血栓可引致中風，而抗凝血藥能減慢血栓的形成，也能使新的血栓難以形成。因此服用抗凝血藥可能有助減低中風風險。⁴ 然而，病人亦可能會較容易出血（特別是跌倒或受傷的時候）。一旦出血，止血時間亦可能會較長。^4,5

vte

認識靜脈血栓栓塞

除了心房顫動，另一與血栓阻塞主要血管，對生命造成威脅而又常被忽略的疾病是靜脈血栓栓塞。它是導致全球最多死亡和傷殘的主因之一，在歐洲和美國，每年因靜脈血栓栓塞致死的人數較因愛滋病、乳癌、前列腺癌和車禍而死亡的總人數更多。⁶

如欲了解更多有關靜脈血栓栓塞疾病、風險因素、症狀、預防及治療。

1. Mayo Clinic. Atrial fibrillation. June 2019. Available at https://www.mayoclinic.org/diseases-conditions/atrial-fibrillation/symptoms-causes/syc-20350624. Last accessed June 2022.

2. Morillo CA et al. J Geriat Cardiol 2017; 14: 195–203.

3. Stroke Association. Atrial fibrillation. Available at https://www.stroke.org.uk/what-is-stroke/are-you-at-risk-of-stroke/atrial-fibrillation. Last accessed June 2022.

4. Stroke Association. Atrial fibrillation (AF) and stroke. May 2019. Available at https://www.stroke.org.uk/sites/default/files/media-root/f26_atrial_fibrillation_and_stroke_v4_web.pdf . Last accessed June 2022.

5. NHS. Side effects. Anticoagulant medicines. May 2018. Available at https://www.nhs.uk/conditions/anticoagulants/side-effects/ . Last accessed June 2022.

6. World Thrombosis Day. Understanding thrombosis. Available at https://www.worldthrombosisday.org/issue/AFib/. Last accessed August 2022.

PP-ELI-HKG-1009 AUG 2022