左心室隔膜袋 (LASP) 和密码性中风:叙述性审查
Palwasha Farooqi1, Adila Yaqobi2, Bushra Mia Khail3
1Internal Medicine, Kabul University of Medical Sciences, Kabul, AFG.
Cureus
|August 12, 2024
概括
左心房隔膜囊 (LASP) 是一个新发现的血栓形成部位,可能解释密码性中风. 识别和管理LASP对于预防复发性心血栓性中风至关重要.
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:
- 心血管栓塞性中风占缺血性中风的20%以上.
- 左心房附属体 (LAA) 是已知的血栓形成部位.
- 左心房隔膜囊 (LASP) 正成为潜在的,未被认可的血栓栓塞的来源,特别是在心房动 (AF) 中.
研究的目的:
- 审查左心房隔膜囊 (LASP) 在密码性中风中的作用.
- 讨论评估LAA解剖学和LASP的成像方法.
- 探索LASP相关的血栓栓塞事件的临床影响和治疗策略.
主要方法:
- 文献综述,重点关注LASP和血栓塞栓事件.
- 讨论诊断成像技术,包括心脏计算机断层扫描 (CT) 和食道横断心声扫描 (TEE).
- 对LASP的患病率和解剖学特征的分析.
主要成果:
- 左心房隔膜囊 (LASP) 存在于大约三分之一的个体.
- 拉斯普在左心室内提供了一个额外的解剖部位,有利于血栓发育和静止.
- LASP 越来越多地被认为是密码性中风的潜在贡献者,特别是在AF患者中.
结论:
- 左心房隔膜囊 (LASP) 是心血管栓塞性中风病因的一个重要,但经常被忽视的因素.
- 使用心脏CT和TEE精确诊断和描述LASP是必不可少的.
- 针对性治疗策略,包括抗凝药和潜在的LASP关闭,可能是预防受影响个体中风的必要条件.
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