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1、房颤-流行病与医疗费用,首都医科大学附属北京安贞医院 马长生,房颤的患病率(ATRIA 研究),JAMA 2001;2370,不同研究中房颤的患病率,J Cardiovasc Nurs 2004;94,房颤患者的住院率,Circulation 2003;711,美国房颤患病率的发展趋势,JAMA 2001;2370,中国房颤的发病率,Int J Cardiol 2005;283,中国-房颤的患病率,Crude prevalence 0.77%Age-standardized prevalence 0.65%male 0.66%;female 0.63%,J Epidemiol 2008;209
2、,中国-房颤患者的年龄构成,Int J Cardiol 2005;283,中国-房颤的病因以及相关发病因素,Int J Cardiol 2005;283,中国-非瓣膜病房颤患者脑卒中发病率,Chin J Cardiol 2002;165,中国-房颤/非房颤患者脑卒中的患病率,J Epidemiol 2008;209,房颤患者的抗栓治疗和脑卒中发生率,Int J Cardiol 2005;283,中国当前房颤的治疗情况,Ablation(10,000),房颤年度医疗花费的构成,Europace 2008;403,不同因素对房颤治疗价/效关系的影响,Pharmacoeconomics 2000;3
3、17,房颤导管消融与药物治疗医疗费用的比较,PACE 2003;292,US,UK,不同国家房颤医疗费用的构成,Am Heart J 2004;121,房颤医疗费用的构成,房颤消融前后对医疗资源占用的比较,JICE 2003;59,J Cardiovasc Electrophysiol 2008;Epub,房颤导管消融与药物治疗费用的比较,Preablation examinations:CT、TEE、TTE、biochemical test Catheter ablation:Abl catheter、Reference pad、Lasso catheter Postablation med
4、ication Warfarin、Amiodarone,中国-导管消融的费用,Total cost:60,000-80,000 RMB,Thank you!,Atrial fibrillation:The Epidemic and Cost,Changsheng Ma,M.D.Department of CardiologyBeijing Anzhen Hospital,Capital Medical University Beijing,P.R.China Dem 13,2008,Prevalence of Diagnosed AF(ATRIA study),JAMA 2001;2370,P
5、revalence of AF in population-based studies,J Cardiovasc Nurs 2004;94,Prevalence of hospitalizations for AF,Circulation 2003;711,Projected Number of AF in U.S,JAMA 2001;2370,Incidence of AF in China,Int J Cardiol 2005;283,Prevalence of AF in China,Crude prevalence 0.77%Age-standardized prevalence 0.
6、65%male 0.66%;female 0.63%,J Epidemiol 2008;209,Age distribution of patients with AF,Int J Cardiol 2005;283,Causes and associated factors for AF,Int J Cardiol 2005;283,Incidence of Stroke in patients with NVAF,Chin J Cardiol 2002;165,Prevalence of stroke in AF/non-AF cohorts,J Epidemiol 2008;209,Ant
7、ithrombotic treatment and stroke rate in AF,Int J Cardiol 2005;283,Current treatment of AF in China,Ablation(10,000),Distribution of annual costs of AF,Europace 2008;403,Influence of variables on cost/effectiveness of AF therapy,Pharmacoeconomics 2000;317,Costs of Ablation vs Medication of AF,PACE 2
8、003;292,US,UK,Distribution of costs of care in AF,Distribution of costs of care in AF in the societal perspective,Am Heart J 2004;121,Comparison of healthcare resource utilization before and after ablation,JICE 2003;59,J Cardiovasc Electrophysiol 2008;Epub,Costs of Ablation vs Medication of AF,Preablation examinations:CT、TEE、TTE、biochemical test Catheter ablation:Abl catheter、Reference pad、Lasso catheter Postablation medication Warfarin、Amiodarone,Costs of AF Catheter ablation in China,Total cost:60,000-80,000 RMB,Thank you!,