左心房心肌病:与心房动和中风复发相关
Laura B H Friderichsen1, Bjørn S Larsen2,3, Mark Aplin3
1Faculty of Health and Medical Sciences, Department of Biomedical Sciences, University of Copenhagen, SUND, BMI, Blegdamsvej 3B, 2200 København N, Copenhagen, Denmark. Laura.friderichsen@sund.ku.dk.
The international journal of cardiovascular imaging
|January 28, 2026
概括
减少左心房空分数 (LAEF) 和左心房扩大与复发性中风或新的心房动 (AF) 有关. 在中风患者中,LA纤维化与这些结果无关. 需要对LAEF作为可修改的风险因素进行进一步的研究.
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:
- 左心房 (LA) 功能障碍与中风的发病有关.
- 了解LA结构和功能标记可以预测不良心血管事件.
- 心房动 (AF) 是中风的常见并发症和原因.
研究的目的:
- 调查LA功能障碍标志物与中风复发或新发性AF之间的关联.
- 为了区分LA排空分数 (LAEF),LA体积和LA纤维化的预测值.
- 分析这些关联在未确定的病因或大/小血管疾病中风的患者.
主要方法:
- 使用了心脏磁共振成像 (MRI) 与晚期加多增强.
- 量化了LA排空分数 (LAEF),LA体积和LA纤维化.
- 随访了91名近期中风 (<30天) 和没有已知AF的患者.
主要成果:
- 较低的LAEF与中风复发或新发性AF风险增加显著相关 (HR1.41每5%的下降).
- LA扩大 (增加的LA体积) 也预测了主要终点 (HR 1.98 每增加5毫升/平方米).
- 肌纤维化与结合终点或其组件没有显著的关联.
结论:
- 在中风患者中,LAEF和LA扩大是复发性中风或新发性AF的重要预测因素.
- 在这个队列中,LA纤维化与这些不良结果无关.
- 劳动力风险测试指标可能是减少中风复发和新发动性肌肉前列腺炎的可修改风险因素.
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