不同左房内径房颤患者心脏结构的差异分析

doi:10.20047/j.issn1673-7210.2022.26.12

Abstract
Figure/Table
References (22)
Related Citation (15)

Download: PDF (512 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To analyze the difference of cardiac structure in atrial fibrillation patients with different left atrial diameter (LAD). Methods From January 2020 to November 2021, 108 patients with atrial fibrillation who underwent radiofrency ablation in Xinjiang Uygur Autonomous Region Hospital of Traditional Chinese Medicine were selected. The LAD was measured by cardiac Doppler ultrasound and divided into group Ⅰ (< 38 mm), group Ⅱ (38-40 mm), and group Ⅲ (> 40 mm) according to the size of LAD. Cardiac output (CO) per minute, cardiac ejection fraction (EF), peak mitral orifice early diastolic flow velocity/peak mitral annulus early diastolic movement velocity (E/e’), E, septum and free wall e’, and the proportion of diastolic dysfunction were compared among three groups; left ventricular end diastolic diameter (LVEDD), left ventricular end systolic diameter (LVESD), and the proportion of ventricular structural abnormalities were compared among three groups. Results There were no significant differences in E/e’, septum e’, free wall e’, and the proportion of diastolic dysfunction among three groups (P > 0.05). There were significant differences in EF and CO among three groups (P < 0.05). EF in group Ⅲ was lower than that in groups Ⅰ and Ⅱ, CO was higher than that in group Ⅰ, and the differences were statistically significant (P < 0.05). There were significant differences in LVEDD, LVESD, and the proportion of ventricular structural abnormalities among three groups (P < 0.05). LVEDD, LVESD and the proportion of ventricular structural abnormalities in group Ⅲ was higher than that in group Ⅰ, LVESD and the proportion of ventricular structural abnormalities in group Ⅲ was higher than that in group Ⅱ, and the proportion of ventricular structural abnormalities in group Ⅱ was higher than that in group Ⅰ, and the differences were statistically significant (P < 0.05). Conclusion EF, CO, LVEDD, LVESD, and the proportion of ventricular structural abnormalities in different LAD patients are different, which can provide guidance for the treatment of AF patients.

Key words： Cardiac ultrasound Left atrial diameter Atrial fibrillation Ablation surgery

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	YE Haitao LI Xiufen WANG Ziyi Zulipiye Ainaisi Ailifeire Parhati Parhati Tursun

Cite this article:

YE Haitao LI Xiufen WANG Ziyi Zulipiye Ainaisi Ailifeire Parhati Parhati Tursun. Difference analysis of cardiac structure in atrial fibrillation patients with different left atrial diameter[J]. 中国医药导报, 2022, 19(26): 54-57.

URL:

https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2022.26.12 OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I26/54

[1] 中国心血管健康与疾病报告编写组.中国心血管健康与疾病报告2020概要[J].中国循环杂志，2021，36（6）：521-545.
[2] 郭继鸿.中国房颤日：唤起百姓捍卫健康的旗帜[J].临床心电学杂志，2020，29（2）：78，159，149-152.
[3] Lloyd-Jones DM，Wang TJ，Leip EP，et al. Lifetime risk for development of atrial fibrillation：the Framingham Heart Study [J]. Circulation，2004，110（9）：1042-1046.
[4] Zhou Z，Hu D. An epidemiological study on the prevalence of atrial fibrillation in the Chinese population of mainland China [J]. J Epidemiol，2008，18（5）：209-216.
[5] Zhang S. Atrial fibrillation in mainland China：epidemiology and current management [J]. Heart（British Cardiac Society），2009，95（13）：1052-1055.
[6] 刘海燕，薛玉梅.衰老与心房颤动[J].中国心脏起搏与心电生理杂志，2021，35（2）：120-123.
[7] 黄从新，张澍，黄德嘉，等.心房颤动：目前的认识和治疗建议（2018）[J].中华心律失常学杂志，2018，22（4）：279-346.
[8] 殷理.超声心动图对房颤患者的观察分析[J].影像研究与医学应用，2021，5（6）：78-79.
[9] 郑红.超声心动图评价左心房功能研究进展[J].西部医学，2019，31（4）：649-652.
[10] 宋群霞，王丽红.经食管超声心动图对非瓣膜性房颤患者血栓形成危险因素的研究[J].中国超声医学杂志，2021， 37（3）：271-274.
[11] 朱忠静，徐本华.超声心动图参数对射频导管消融术后心房颤动复发的评估价值分析[J].心电与循环，2021， 40（3）：303-306.
[12] 敬宏宇，甘晨阳，李坤.左房内径与心房颤动的相关性分析[J].临床心电学杂志，2020，29（6）：436-438.
[13] 周述娜，朱玉坤.心房纤颤的类型与左心房增大的关系[J].中国全科医学，2009，12（23）：2158-2159.
[14] 潘锋.强化降压有利于降低房颤发生风险——访首都医科大学附属北京安贞医院董建增教授[J].中国当代医药，2020，27（20）：1-3.
[15] 李彬，徐梅玲，谢雯.血清红细胞分布宽度、同型半胱氨酸水平与急性心梗并发房颤的相关性[J].中国急救复苏与灾害医学杂志，2020，15（9）：1037-1041.
[16] 王喆，江耀辉，张悦坤，等.计算机断层摄影术心脏成像评价不同类型心房颤动患者左心房内形态结构的临床研究[J].临床心血管病杂志，2020，36（12）：1130-1134.
[17] 韩蕊，梅迎晨，郑梅，等.实时三维超声心动图联合二维斑点追踪成像评价心房颤动患者左心结构及功能[J].中国医药导报，2022，19（4）：14-17，27.
[18] 张兵兵，李结华.心房颤动患者同型半胱氨酸、胱抑素C与颈动脉粥样硬化、左心房内径的相关性研究[J].国际老年医学杂志，2021，42（5）：261-263，278.
[19] 赖玉琼，王飞，史成龙，等.经食道实时三维超声心动图在评估非瓣膜性房颤患者血栓风险中的应用[J].中外医学研究，2021，19（28）：76-78.
[20] 刘昶权，黄铮.心房颤动射频消融术后复发的相关危险因素研究[J].岭南心血管病杂志，2014，20（2）：148-151.
[21] 吴俊杰.心房颤动与心房纤维化的相关机制研究进展[J].现代医药卫生，2017，33（9）：1343-1347.
[22] 曹哲哲，马瑞彦.心房颤动的心房纤维化分子机制研究进展[J].心血管病学进展，2019，40（3）：359-362.