心房颤动患者左心房形态结构及功能与血栓形成关系的研究进展

杨敏; 肖模超

doi:10.13201/j.issn.1001-1439.2023.02.006

心房颤动患者左心房形态结构及功能与血栓形成关系的研究进展

杨敏¹,
肖模超^1, ,

- 哈尔滨医科大学附属第四医院心血管内科(哈尔滨，150001)

详细信息

通讯作者: 肖模超, E-mail: xiaomochaoletter@163.com

中图分类号: R541.7

收稿日期: 2022-04-01

刊出日期: 2023-02-13

Research progress of the relationship between left atrial morphology, function and thrombosis in patients with atrial fibrillation

YANG Min¹,
XIAO Mochao^1, ,

- Department of Cardiology, the Fourth Affiliated Hospital of Harbin Medical University, Harbin, 150001, China

More Information

Corresponding author: XIAO Mochao, E-mail: xiaomochaoletter@163.com

Received Date: 01 April 2022

Publish Date: 13 February 2023

摘要

摘要: 心房颤动(房颤)是最常见的心律失常之一，而血栓事件是房颤患者最严重的并发症。目前临床上主要通过CHA₂DS₂-VASc评分指导抗凝治疗，但有较多不足。有研究发现左心房的结构与功能与血栓形成有相关性，或有望成为房颤患者抗凝治疗的补充方法。现对左心房结构及功能预测非瓣膜性房颤患者血栓形成的价值进行综述。
- 心房颤动 /
- 血栓 /
- 左心房结构 /
- 左心房功能
Abstract: Atrial fibrillation is one of the most common arrhythmias, and thrombotic events are the most serious complications in patients with atrial fibrillation. At present, anticoagulation therapy is mainly guided by CHA₂DS₂-VASC score in clinical practice, but there are many deficiencies. Some studies have found that the structure and function of the left atrium are related to thrombosis, which may be a complementary method for anticoagulant therapy in patients with atrial fibrillation. This article reviews the value of left atrial structure and function in predicting thrombosis in patients with nonvalvular atrial fibrillation.
- atrial fibrillation /
- thrombosis /
- left atrial structure /
- left atrial function

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图 1 4种传统左心耳分型

Figure 1. Four traditional types of left atrial appendage

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图 2 LAA-L型左心耳

Figure 2. LAA-L type left atrial appendage

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图 3 心肌应变分析

Figure 3. Myocardial strain analysis

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