耳前二次三回:病理生理学,定义,诊断和治疗
Denisa Muraru1,2, Luigi P Badano1,2, Rebecca T Hahn3
1Department of Medicine and Surgery, University of Milano-Bicocca, Piazza dell'Ateneo Nuovo 1, Milan 20126, Italy.
European heart journal
|March 5, 2024
概括
前庭二次三回 (A-STR) 是一种由右心房扩大引起的独特的心脏病. 这份专家意见提供了识别和管理A-STR的标准,将其与其他形式的三角吐区分开来.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 心血管成像 - 心血管成像
背景情况:
- 心房二次三回 (A-STR) 是一种特定的表型,其特征是右心房扩张和正常的心室功能.
- 它通常会影响有心房的老年妇女和心力衰竭患者的心脏衰竭患者.
- 主要机制涉及由于右心房扩大而导致的三圆环扩张,叶片生长不足.
研究的目的:
- 用特定的定量标准来定义A-STR,将其与心室表型区分开来.
- 帮助医生了解A-STR的病理生理学,诊断和成像.
- 促进A-STR研究和临床实践的标准化和一致性.
主要方法:
- 对A-STR.的现有文献和专家共识的审查.
- 关于诊断三回的心房表型的定量标准的建议.
- 讨论用于A-STR评估的多模式成像特征.
主要成果:
- A-STR占临床相关的三管吐病例的10-15%.
- A-STR表现出比心室表型更好的结果.
- 微不足道的传单绑定是A-STR的特征,与心室表型不同.
结论:
- 目前的指南缺乏针对A-STR识别和管理的具体建议.
- 积极的节律控制和及时的门干预可能有利于A-STR患者.
- 标准化定义和标准对于推进A-STR研究和患者护理至关重要.
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