左心室附属体治疗对外科手术 Ablations 期间中枢门疾病的影响
Can Zhou1, Yichen Zhao2, Cheng Zhao2
1Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, 100000 Beijing, China.
Reviews in cardiovascular medicine
|July 30, 2024
概括
在心房移除期间的左心房附属体干预可能会恶化 mitrale regurgitation. 对于患有潜在的 mitra 门疾病的患者,建议保留左心房附属体,以防止反的进展.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 电子生理学 电子生理学
背景情况:
- 左心房附属体 (LAA) 影响左心房功能.
- 左心房的结构变化可能会导致或加剧 mitrale 吐.
- 在AF切除过程中调查LAA关闭对于了解 mitrale regurgitation结果至关重要.
研究的目的:
- 评估左心房附属体关闭 (切除或内心脏关闭) 对友节的影响.
- 为了评估患有心肌的患者的结局,这些患者因心房动 (AF) 经历了孤立的外科切除.
主要方法:
- 对456名患有轻度/中度 mitrale regurgitation 的患者进行了回顾性研究,这些患者接受了孤立的 AF 切除 (2013-2022).
- 随访包括临床评估,霍尔特监测和心声回声学.
- 分析的结果:死亡,AF复发,额头肌吐恶化,中风. 用于调整的治疗权重的逆概率.
主要成果:
- 死亡或中风率在各组之间没有显著差异 (LAA关闭与保存).
- 接受LAA切除或内心闭塞的患者表现出额头腔吐恶化的风险增加 (p < 0.05).
- 与LAA保存相比,LAA干预与较大的左心室/心室环形直径和较低的绑定高度相关 (p <0.05).
结论:
- 在AF切除过程中进行左心房附属体干预可能会恶化先前存在的 mitrale regurgitation.
- 缺少LAA可以导致左心房和中心房环扩张,可能加剧吐.
相关概念视频
Mitral Valve Prolapse I: Introduction
1.1K
IntroductionThe mitral valve, one of the heart's four valves, regulates blood flow. These valves have flaps that open and close to direct blood properly through the heart and body. During each heartbeat, the flaps open for blood to pass through and seal shut to prevent backflow. Specifically, the mitral valve opens to allow blood flow from the heart's upper left chamber to the lower left chamber. It then closes securely as the lower left chamber contracts to pump blood to the body, preventing...
1.1K
Mitral Valve Prolapse II: Assessment and Management
1.4K
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
1.4K
Mitral Regurgitation III: Medical Management
691
Mitral regurgitation (MR) is characterized by retrograde blood circulation from the left ventricle into the left atrium due to inadequate mitral valve closure. The severity of the condition, symptoms, and underlying cause determine treatment strategies.Monitoring and Pharmacological TreatmentPatients with mild to moderate MR typically do not need immediate intervention but regular monitoring to assess progression and guide treatment. Patients with mild MR should have an echocardiogram every 3-5...
691
Mitral Stenosis I: Introduction
1.8K
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
1.8K
Mitral Stenosis II: Clinical features and Diagnostic Tests
565
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...
565
Mitral Stenosis III: Medical Management
539
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
539


