左心房功能预测了长期持续性心房的废除后,心房律乱的复发
Habib Rehman Khan1, Haci Yakup Yakupoglu2, Ines Kralj-Hans2
1London Health Sciences Centre, University of Western Ontario, London, Canada (H.R.K.).
Circulation. Cardiovascular imaging
|June 8, 2023
概括
由于持续性心房动 (AF) 的移除后,左心房 (LA) 功能得到改善,特别是LA收缩性应变,预测节律维持. 切除后加强LA功能是预防AF复发的关键.
科学领域:
- 心脏病学 心脏病学
- 电子生理学 电子生理学
- 心脏成像 - - 心脏成像
背景情况:
- 长期存在的持续性心房动 (AF) 给切除成功带来了挑战.
- 左心房 (LA) 功能在AF病理生理学和复发中至关重要.
- 这项CASA-AF试验调查了持续性AF的导管与外科切除.
研究的目的:
- 为了评估持续性AF的消去后的左心房 (LA) 功能.
- 为了确定LA函数对AF复发的影响.
- 为了比较CASA-AF试验中导管和外科切除之间的结果.
主要方法:
- 心声学 (2D,斑点跟踪) 评估了LA结构和功能 (水库,管道,收缩应变).
- 通过传导多普勒和组织多普勒评估的左心室扩张功能.
- 持续节律监测使用植入式循环记录器.
主要成果:
- 分析了83名患者;30人保持了鼻节律,53人出现了复发.
- 在鼻节律患者中观察到改善的LA排空分数,储应变和收缩应变.
- 在切除后3个月的LA收缩菌株独立预测AF复发.
结论:
- 对持久性AF的切除改善了LA功能,对于那些维持鼻节律的人来说,这种改善更大.
- LA收缩菌株是AF复发的首要决定因素.
- 这些发现强调了LA功能评估在AF管理中的重要性.
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