相关实验视频

Updated: Jul 14, 2025

Real-Time Cardiac Mapping with a Noninvasive Imageless Electrocardiographic Imaging System

Real-Time Cardiac Mapping with a Noninvasive Imageless Electrocardiographic Imaging System

Published on: April 11, 2025

在AF切除前,ATE评分的诊断准确度可以预测心室内血栓的缺失

Antoine Milhem¹, Frédéric Anselme², Antoine Da Costa³

¹Department of Cardiology, CH la Rochelle, La Rochelle, France.

JACC. Clinical electrophysiology

|October 7, 2023

概括

心房瘤排除 (ATE) 评分有效地识别了在切除前心房瘤风险非常低的患者. 这一分数可能有助于心脏病学家在特定情况下避免经食道心声扫描 (TEE).

科学领域:

心脏病学心脏病学
电子生理学电子生理学
医学诊断医学诊断医学诊断

背景情况:

心房动 (AF) 导管切除需要排除心房内血栓.
经食道回声心电图 (TEE) 是标准的诊断方法.
前庭血栓排除 (ATE) 评分是初步开发的,以预测缺少的血栓.

研究的目的:

为了在独立的患者队列中对ATE得分的负预测值 (NPV) 进行前性验证.
评估ATE得分识别不需要TEE的患者的能力.
为了确认ATE得分在为AF或左心房动脉冲动 (LAT) 进行切除的患者中的有用性.

主要方法:

未来,多中心招募3072名接受AF或LAT切除的患者.
在去除前48小时内测量的D-二聚物水平.
常规执行TEE;计算ATE得分 (中风,高血压,心力衰竭,D-二次数>270 ng/mL).

主要成果:

在0.94%的患者中检测到心房血栓,所有患者都服用抗凝药.
在26.6%的患者中观察到0的ATE得分.
该ATE得分显示了99.8%的NPV和93.1%的灵敏度用于检测心房血栓.

结论:

在AF或LAT废除之前,ATE得分识别了心房血栓风险非常低的患者.
心脏病学家可能会考虑放弃手术前TEE对于ATE得分为0.0的患者.
ATE评分有助于优化对心房血栓的手术前评估.

关键词:

在ATE中获得的分数.心房动是心房动的一种.心血管疾病的心血管疾病导管切除导管切除导管切除导管切除诊断技术诊断技术诊断技术有关风险因素的风险因素.血栓形成的原因是血栓形成.

更多相关视频

Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology

Non-fluoroscopic Catheter Tracking for Fluoroscopy Reduction in Interventional Electrophysiology

Published on: May 26, 2015

Robotic Ablation of Atrial Fibrillation

Robotic Ablation of Atrial Fibrillation

Published on: May 29, 2015

相关概念视频

Dysrhythmias V: Evaluating Dysrhythmias

Dysrhythmias V: Evaluating Dysrhythmias

Dysrhythmias, also known as arrhythmias, are disturbances in the heart's rhythm that range from benign to life-threatening. A thorough evaluation is crucial for appropriate management and involves a comprehensive medical history, physical examination, and various diagnostic tests.Medical HistorySymptoms: Collect detailed information on palpitations, dizziness, syncope, chest pain, and fatigue. Note their onset, frequency, and triggers.Previous Cardiac Issues: Document any history of heart...

Acute Coronary Syndrome III: Diagnostic Studies

Acute Coronary Syndrome III: Diagnostic Studies

Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...

Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT

Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT

Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...