亚洲免费av电影一区二区三区,日韩爱爱视频,51精品视频一区二区三区,91视频爱爱,日韩欧美在线播放视频,中文字幕少妇AV,亚洲电影中文字幕,久久久久亚洲av成人网址,久久综合视频网站,国产在线不卡免费播放

        ?

        左心房容積指數(shù)( LAVI )預(yù)測房顫( AF )患者左心房( LA )/左心耳( LAA )血栓的價值

        2021-11-13 09:42:58謝青龍陳磊顏麗麗
        中國現(xiàn)代醫(yī)生 2021年25期
        關(guān)鍵詞:心房顫動血栓

        謝青龍 陳磊 顏麗麗

        [關(guān)鍵詞] 左心房容積指數(shù);心房顫動;左心房;左心耳;血栓

        [中圖分類號] R541.75? ? ? ? ? [文獻標(biāo)識碼] A? ? ? ? ? [文章編號] 1673-9701(2021)25-0031-04

        The value of LAVI in predicting LA/LAA thrombus in patients with AF

        XIE Qinglong? ?CHEN Lei? ?YAN Lili

        Department of Cardiovascular Medicine, Taizhou Central Hospital (The Affiliated Hospital of Taizhou University), Taizhou? ?318000, China

        [Abstract] Objective To investigate the clinical value of left atrial volume index (LAVI) in predicting left atrial (LA)/left atrial appendage (LAA) thrombus in patients with atrial fibrillation (AF). Methods A total of 45 patients with AF confirmed as LA/LAA thrombus by transesophageal echocardiography (TEE) admitted to Taizhou Central Hospital from September 2018 to September 2019 were retrospectively analyzed, and they were categorized as the observation group.Another 45 patients with non-thrombotic AF during the same period were categorized as the control group.The data of the two groups were collected and the differences between the data of the two groups were compared. The clinical value of LAVI in predicting LA/LAA thrombus was analyzed, and the clinical factors affecting LA/LAA thrombus were investigated. Results (1)Compared with the control group, the course of AF, [congestive heart failure, hypertension, age ≥75 (doubled), diabetes, stroke (doubled), vascular disease, age 65-74, and sex category (female), CHA2DS2-VASc] score, left atrial volume (LAV), left anterior descending (LAD), LAVI and left ventricular anterior wall (LAAW) increased in the observation group, but left ventricular ejection fraction (LVEF) decreased. (2) The area under the curve of the value of LAVI for predicting LA/LAA thrombus (95% CI) was 0.81 (0.71-0.91), the optimal diagnostic threshold was 29.48 mL/m2, and the sensitivity and specificity (95% CI) were 0.68 (0.55-0.73) and 0.77 (0.69-0.85), respectively. LAVI, LAD, LAV and the course of AF were associated with LA/LAA thrombus (OR=3.33, 2.24, 1.55 and 1.14). Conclusion LAVI is a predictor and risk factor for LA/LAA thrombosis.

        [Key words] Left atrial volume index; Atrial fibrillation; Left atrium; Left atrial appendage; Thrombus

        心房顫動(Atrial fibrillation,AF)影響心功能,增加血栓栓塞的風(fēng)險,預(yù)防和治療房顫所致血栓事件是臨床重點[1-2]。AF引起左心耳(Left atrial appendage,LAA)收縮功能異常、血液淤滯,是血栓危險因素,此外AF時LAA中vW因子表達上調(diào)激活血小板黏附形成血栓[3-4],LA血栓形成及脫落也是AF患者出現(xiàn)栓塞事件的原因[5]。AF患者往往存在不同程度的LA結(jié)構(gòu)重構(gòu)及形態(tài)改變,結(jié)構(gòu)重構(gòu)表現(xiàn)在心房擴大、心房肌超微結(jié)構(gòu)改變以及間質(zhì)纖維化,形態(tài)改變與LA負(fù)荷壓力過高有關(guān),為保持結(jié)構(gòu)穩(wěn)定性,LA往往發(fā)生球形重構(gòu)[6-7],左心房球形度與二尖瓣狹窄患者血栓事件有關(guān)[8],這與LA對稱性改變有關(guān),引起血流模式改變、血流淤滯、炎癥反應(yīng)以及血小板激活促進血栓形成[7]。左心房容積指數(shù)(Left atrium volume index,LAVI)是反映左心房重構(gòu)的指標(biāo),可能與AF患者的栓塞事件有關(guān)。

        猜你喜歡
        心房顫動血栓
        防栓八段操 讓你遠(yuǎn)離深靜脈血栓
        中老年保健(2021年8期)2021-12-02 23:55:49
        血栓會自己消除么? 記住一個字,血栓不上身!
        血栓彈力圖在惡性腫瘤相關(guān)靜脈血栓栓塞癥中的應(yīng)用進展
        血栓最容易“栓”住哪些人
        11例非瓣膜性心房顫動患者行左心耳封堵術(shù)后的護理
        高齡非瓣膜病性房顫應(yīng)用華法林抗凝治療的療效及安全性研究
        ACS合并心房顫動患者的抗栓治療研究進展
        經(jīng)食道超聲對射頻消融術(shù)前房顫患者左房及左心耳血栓的診斷價值
        利伐沙班與華法林在心房顫動的臨床療效對比
        今日健康(2016年12期)2016-11-17 12:27:11
        雜交手術(shù)治療心房顫動的研究進展
        手机看片福利一区二区三区| 激情亚洲不卡一区二区| 日本道免费一区二区三区日韩精品| 国产在线 | 中文| 国产精品原创巨作AV女教师 | 最近更新中文字幕一区二区| 麻豆免费观看高清完整视频| 亚洲欧美综合在线天堂| 亚洲国产日韩在线精品频道| 伊人久久大香线蕉av不变影院 | 图片区小说区激情区偷拍区| 无码天堂亚洲国产av麻豆| 亚洲国产av精品一区二| 国内永久福利在线视频图片| 又污又爽又黄的网站| 国产自产av一区二区三区性色| 男女啪啪动态视频在线观看| 欧美老熟妇乱子| 亚洲精品国精品久久99热一| 好爽~又到高潮了毛片视频| 久久亚洲春色中文字幕久久| 精品久久久久久无码中文字幕| 亚洲成人福利在线观看| 中文字幕亚洲日本va| 中文字幕一区二区三区视频 | 人与人性恔配视频免费| 伦人伦xxxx国语对白| 亚洲国产AⅤ精品一区二区久| 丝袜美腿丝袜美腿丝袜美腿丝袜| 蜜桃日本免费看mv免费版| 精品欧美乱子伦一区二区三区 | 护士人妻hd中文字幕| 中文 在线 日韩 亚洲 欧美| 2021国产最新在线视频一区| 亚洲av色香蕉一区二区三区软件| 中文人妻av久久人妻水蜜桃| 久久欧美与黑人双交男男| 国产人妖一区二区在线| 丝袜美腿av在线观看| 中国凸偷窥xxxx自由视频妇科| 亚洲欧洲一区二区三区波多野|