在患有非膜性心房的患者中,左心室残留血栓的流动性和中风严重程度之间的关联
Yuji Kato1, Takeshi Hayashi1, Shintaro Nakano2
1Department of Neurology and Cerebrovascular Medicine, Saitama Medical University International Medical Center.
概括
非膜性心房患者的移动左心房血栓 (LAT) 与更严重的缺血性中风和更高的大血管封闭率有关. 这种流动性可能会对中风的结果产生重大影响.
科学领域:
- 心脏病学 心脏病学
- 神经学 神经学
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 左心房血栓 (LAT) 是非膜性心房动 (NVAF) 中缺血性中风的已知危险因素.
- 对LAT移动性的临床影响仍然不太了解.
- 这项研究调查了LAT移动性和中风特征之间的关联.
研究的目的:
- 为了确定移动左心房血栓 (LAT) 是否不同于非移动的LAT在经历缺血性中风的患者中.
- 分析与LAT移动性相关的临床,神经放射学和心声学特征.
主要方法:
- 对20名患有急性缺血性中风的NVAF患者的回顾性分析,并通过跨胸腔心声学检测到LAT.
- 患者分为移动LAT (M组) 和非移动LAT (N组) 组.
- 评估临床严重程度 (NIH中风量表),中风复发,大血管封闭 (LVO) 和功能结果 (修改的兰金量表).
主要成果:
- 在11名患者 (M组) 中观察到移动LAT,在9名患者 (N组) 中观察到非移动LAT.
- 组M显示了更高的入院NIH中风量表得分和在医院中风复发的趋势.
- 在M组,大血管封闭率 (73%对30%,p=0.049) 和功能结果较差的流行率显著更高 (73%对30%,p=0.049).
结论:
- 在NVAF患者中,LAT流动性似乎是影响缺血性中风严重性的重要因素.
- 移动LAT与更高的大血管封闭的可能性和更差的功能预后有关.
- 需要进一步的研究来探索针对LAT移动性的治疗策略.
更多相关视频
28:13Catheter Ablation in Combination With Left Atrial Appendage Closure for Atrial Fibrillation
Published on: February 26, 2013
33.4K
08:10Estimating Bilateral Atrial Function by Cardiovascular Magnetic Resonance Feature Tracking in Patients with Paroxysmal Atrial Fibrillation
Published on: July 20, 2022
1.7K
相关概念视频
01:23Mitral Stenosis II: Clinical features and Diagnostic Tests
Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
01:25Aortic Regurgitation III: Medical Management
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
01:30Acute 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...
01:29Hemorrhagic Stroke ll: Pathophysiology
A hemorrhagic stroke develops when a cerebral blood vessel ruptures, allowing blood to escape into the surrounding brain tissue, as in intracerebral hemorrhage (ICH), or into the subarachnoid space, as in subarachnoid hemorrhage (SAH). Because the skull is a rigid compartment, the sudden presence of extravascular blood rapidly increases intracranial pressure and compresses adjacent neural structures, leading to immediate tissue injury and impaired cerebral perfusion.Mass Effect and Primary...