左心房应变,源不明的栓塞性中风和心房的检测
Zubair Bashir1, Edward W Chen2, Shuyuan Wang3
1Department of Cardiology, Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Echocardiography (Mount Kisco, N.Y.)
|January 29, 2024
概括
减少左心房 (LA) 应变与源不明的栓塞性中风 (ESUS) 和随后的心房动 (AF) 检测有关. 测量LA菌株可以改善ESUS患者的风险评估和预防策略.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 医疗成像医学成像
背景情况:
- 心房心脏病是源不明的栓塞性中风 (ESUS) 的潜在原因.
- 在结构变化明显之前,左心房 (LA) 应变可能表明早期心房心脏病.
- 这项研究调查了LA菌株,ESUS和ESUS患者中心房 (AF) 检测之间的关系.
研究的目的:
- 检查左心房应变与源不明的栓塞性中风 (ESUS) 之间的关联.
- 确定左心房应变是否预测ESUS患者随后检测到心房动 (AF).
主要方法:
- 患有ESUS和非心血管栓塞性 (NCE) 中风的患者接受了跨胸腔心声图.
- 斑点跟踪回声心脏图 (STE) 量化了LA菌株的三个阶段:储存,导管和收缩.
- 二元逻辑回归分析了LA菌株,中风亚型和AF检测之间的关联.
主要成果:
- 与NCE中风相比,LA水库,收缩和管道应变的下层三角形与ESUS有显著的关联.
- 在ESUS患者中,减少LA储,收缩和导管应变与随后的AF检测有显著的关联.
结论:
- 减少左心房应变与ESUS的发生和ESUS患者中AF的检测有关.
- 量化LA菌株可以提高风险分层,并指导ESUS的二次预防.
- 在中风患者中,LA应变测量为早期识别心房心脏病的潜在工具.
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