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耳前心肌病:从诊断到治疗
Zheyu Liu1,2,3, Tao Liu1, Gang Wu1
1Department of Cardiology, Renmin Hospital of Wuhan University, 430060 Wuhan, Hubei, China.
Reviews in cardiovascular medicine
|January 27, 2025
概括
心房心肌病变 (ACM) 是一个新兴的概念,可能是心脏源性栓塞的低估原因,与心房动 (AF) 不同. 这次审查澄清了ACM的情况.
科学领域:
- 心脏病学和心血管研究.
- 了解心房电生理学和结构.
背景情况:
- 心房心肌病变 (ACM) 越来越被认为是心房动 (AF) 和心血管栓塞的关键因素.
- 传统观点将AF诱导的血液动力学变化和左心房附属体血栓与栓塞联系在一起,但ACM的作用正在引起人们的注意.
- ACM涉及慢性炎症,氧化应激,脂质积累和纤维化,有助于AF和潜在的栓塞.
研究的目的:
- 为了定义心房心肌病 (ACM).
- 在临床实践中审查ACM的非侵入性诊断方法.
- 讨论ACM的管理策略,包括上游治疗和抗凝药.
主要方法:
- 文献综述和当前证据的综合.
- 诊断技术的评估:心声回声,心脏MRI,心电图和生物标志物.
- 对ACM的临床标准和管理策略的分析.
主要成果:
- ACM是心血管栓塞的重要贡献者,独立于或与AF一起.
- 像成像,心电图和生物标志物这样的非侵入性诊断工具可以识别ACM.
- 管理包括风险因素修改,抗凝血和节律控制.
结论:
- 在心血管栓塞中,ACM 是一个至关重要的,但经常被低估的因素.
- 需要标准化诊断标准和对ACM的临床意识.
- 对ACM的全面管理对于预防血栓栓塞事件至关重要.
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