Research Progress of Screening and Community Management of Atrial Fibrillation

随着人口老龄化和生活方式改变，心房颤动(房颤)发病率显著上升，已成为全球重大公共卫生问题。房颤不仅降低患者生活质量，还显著增加卒中、心力衰竭及认知功能障碍等风险。全科医生在房颤社区管理中发挥关键作用，通过早期筛查、健康教育、风险评估、持续监测及综合干预，可提高房颤识别率并优化治疗依从性。当前，房颤筛查手段趋于多样化，社区管理强调多学科协作与个体化诊疗，结合信息化工具构建动态管理系统。然而，我国社区房颤管理仍面临知晓率低、抗凝治疗率不足等问题。本文系统综述国内外房颤筛查技术及社区管理模式的研究进展，分析现存问题并提出改进方向，以期为优化房颤防控策略提供参考。With the aging population and lifestyle changes, the incidence of atrial fibrillation (AF) has risen significantly, emerging as a critical global public health issue. AF not only diminishes patients’ quality of life but also substantially elevates the risks of stroke, heart failure, and cognitive impairment. General practitioners play a pivotal role in community-based AF management by implementing early screening, health education, risk assessment, continuous monitoring, and comprehensive interventions, which can enhance AF detection rates and optimize treatment adherence. Current AF screening approaches are increasingly diversified, while community management emphasizes multidisciplinary collaboration and personalized treatment approaches, supported by dynamic systems integrating digital health tools. However, challenges persist in China, including low public awareness and inadequate anticoagulation rates. This review systematically examines advancements in AF screening technologies and community management models worldwide, analyzes existing limitations, and proposes strategies for improvement, aiming to provide insights for optimizing AF prevention and control strategies.