在患有完整左束分支区块的患者中,极左轴偏差的值
Guido Vannoni1, Carlos D Labadet1, Giuliana Caminotti1
1División Cardiología, Hospital General de Agudos Dr. Cosme Argerich, Pi y Margal 750, 2nd floor, (1155) Ciudad Autómona de Buenos Aires, Argentina.
Current problems in cardiology
|September 12, 2025
概括
在患有左捆分支阻塞 (LBBB) 的患者中,向左的QRS轴偏差 (LAD) 表明缩功能和心室重塑变得更差. 这一发现突显了LAD作为识别高风险心血管患者的重要标志物.
科学领域:
- 心脏病学 心脏病学
- 心脏电生理学 心脏电生理学
- 心血管成像 - 心血管成像
背景情况:
- 完整的左捆分支阻塞 (LBBB) 与心血管事件风险增加有关.
- 在LBBB中极端向左QRS轴偏差 (LAD) 的预后意义仍在争论中.
研究的目的:
- 为了确定LBBB患者的LAD (-45°) 是否可以作为缩功能障碍的标志物.
- 评估LBBB患者的LAD是否与心室重塑有关.
主要方法:
- 一项横截面队列研究包括了102名被诊断患有LBBB的患者.
- 进行了心声扫描,以评估左心室 (LV) 的尺寸,壁面厚度和喷射分数 (EF).
主要成果:
- 患有LAD的患者表现出明显较低的EF (32.2%对46.7%) 和增加的LV终端-透气直径指数.
- LAD在识别降低EF时表现出45%的灵敏度和88%的特异性.
- 心肌病在LAD组中更为普遍 (93.1%对61.6%),异常LV缩的发病率更高.
结论:
- 在LBBB中,LAD (-45°) 与缩功能受损和左心室扩张有关.
- LAD识别了患有LBBB的患者,这些患者患心肌病和异常缩的可能性更高.
相关概念视频
Dysrhythmias IV: Characteristics of Bradyarrhythmias
501
Bradyarrhythmias are cardiac rhythm disorders characterized by a slower-than-normal heart rate, typically defined as fewer than 60 beats per minute. Some of which are discussed here:Sinus BradycardiaSinus bradycardia presents a heart rate lower than 60 beats per minute, with a regular rhythm originating from the SA node. The ECG typically shows normal P waves preceding each QRS complex, a normal PR interval (0.12 to 0.20 seconds), and a normal QRS duration (0.06 to 0.10 seconds).First-Degree AV...
501
Mitral Stenosis II: Clinical features and Diagnostic Tests
223
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...
223
Mitral Regurgitation I: Introduction
424
Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
424
Aortic Regurgitation I: Introduction
504
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
504
Imbalances in Cardiac Output
2.3K
The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
2.3K
Mitral Stenosis I: Introduction
485
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...
485


