[1]林明宽.左心耳与心房颤动的关系[J].心血管病学进展,2022,(4):362-364.[doi:10.16806/j.cnki.issn.1004-3934.2022.04.018]
 LIN Mingkuan.Left Atrial Appendage and Atrial Fibrillation[J].Advances in Cardiovascular Diseases,2022,(4):362-364.[doi:10.16806/j.cnki.issn.1004-3934.2022.04.018]
点击复制

左心耳与心房颤动的关系()
分享到:

《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2022年4期
页码:
362-364
栏目:
综述
出版日期:
2022-04-25

文章信息/Info

Title:
Left Atrial Appendage and Atrial Fibrillation
作者:
林明宽
(三亚市人民医院心内科,海南 三亚 572000)
Author(s):
LIN Mingkuan
( Department of Cardiology,Sanya Peoples HospitalHainan 572000,Sanya,China)
关键词:
心房颤动左心耳电隔离复发
Keywords:
Atrial fibrillation Left atrial appendage Electrical isolation recrudescence
DOI:
10.16806/j.cnki.issn.1004-3934.2022.04.018
摘要:
心房颤动是最常见的快速性心律失常。研究表明部分房颤消融术后复发与左心耳有关,左心耳电隔离是治疗此类房颤的有效方法。就左心耳的解剖、功能、机制、左心耳电隔离等进行综述。
Abstract:
Atrial fibrillation (AF) is the most common tachyarrhythmia.The studies have shown that the recurrence of some atrial fibrillation after ablation is related to the left atrial appendage,and left atrial appendage electrical isolation is an effective method for the treatment of this kind of atrial fibrillation. Therefore,this paper reviews the anatomy,function,mechanism and electrical isolation of left atrial appendage.

参考文献/References:

[1] 林明宽.上腔静脉与房颤的关系[J].实用心电学杂志,2021,30(4):284-287.

[2] Arbelo E,Brugada J,Hindricks G,et al. The atrial fibrillation ablation pilotstudy: an European survey on methodology and results of catheter ablation foratrial fibrillation conducted by the European Heart Rhythm Association[J]. Eur Heart J,2014,35(22):1466-1478.
[3] Regazzoli D,Ancona F,Trevisi N,et al. Left atrial appendage: physiology,pathology,and role as a therapeutic target[J]. Biomed Res Int,2015,2015(10):1-13.
[4] Wang Y,di Biase L,Horton RP,et al. Left atrial appendage studied by computed tomography to help planning for appendage closure device placement[J]. J Cardiovasc Electrophysiol,2010,21(9):973-982.
[5] 张佳圩,黄从新.左心耳的结构功能及无创评估方法的研究进展[J].心血管病学进展,2019,40(4):508-512.
[6] di Biase L,Santangeli P,Natale A. How to ablate long-standing persistent atrial fibrillation?[J].Curr Opin Cardiol,2013,28(1):26-35.?/div>
[7] di Biase L,Burkhardt JD,Mohanty P,et al. Left atrial appendage:an underrecognized trigger site of atrialfibrillation[J]. Circulation,2010,122(2):109-118.
[8] Suksaranjit P,Marrouche NF,Han FT,et al. Relation of left atrial appendage remodeling by magnetic resonance imaging and outcome of ablation for atrial fibrillation[J].Am J Cardiol,2018,122(1):83-88.
[9] Hocini M,Shah AJ,Nault I,et al. Localized reentry within the left atrial appendage: arrhythmogenic role in patients undergoing ablation of persistent atrial fibrillation[J]. Heart Rhythm,2011,8(12):1853-1861.
[10] Kanda T,Masuda M,Sunaga A,et al.Low left atrial appendage flow velocity predicts recurrence of atrial fibrillation after catheter ablation of persistent atrial fibrillation[J].J Cardiol,2015,66(5):377-381.
[11] 袁迎芳,李彩英,田伟伟,等.CT 定量评价左心耳解剖结构与心房颤动射频消融术后复发的相关性研究[J].中国循环杂志,2020,35(5):475-480
[12]袁迎芳,李彩英* ,田伟伟等,左心耳功能 CT 定量评估对心房颤动射频消融术后复发的预测价值,临床放射学杂志,2020,39(4):699-703[13] 郑桂安,林春艺,翁兰,等.左心耳体积对心房颤动导管射频消融术后复发的预测价值[J].中华心血管病杂志,2017,45(11):924.
[14]王喆,郭和合,刘志煜等,左心耳及其毗邻形态结构对心房颤动导管射频消融术后复发的预测价值,郑州大学学报( 医学版),2021,56( 11) : 216-221.
[15] 杜薇,邱清艳,戴闽,等.左心耳容积与心房颤动射频消融术后复发的关系[J].中国心血管杂志,2020,25(5):425-431.
[16]腾帅,白中乐,陶海龙等,左心耳容积与心房颤动射频消融术后复发的关系,实用医学杂志,2018,34(9) :1481-1484.
[17]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,心电与循环,2021,40(3):303-306.
[18]王玉婷,苏浩,杨好意等,经食管超声心动图评价左心耳功能对房颤导管射频消融术后复发的预测价值,中华全科医学,2020,18(9):1547-1550.
[19]程光辉,黄尾平,韩宏伟等,左心耳峰值流速对肺静脉隔离术后成功维持窦性心律的预测价值,岭南心血管病杂志,2021,27(2):142-145.
[20] 郭冠军,方爱娟,张苏明,等.左心耳排空速度预测阵发性心房颤动患者导管消融术后窦性节律的维持[J].心脏杂志,2021,33(1):49-52.
[21] Ma XX,Zhang YL,Hu B,et al. Association between left atrial appendage emptying velocity,N-terminal plasma brain natriuretic peptide levels,and recurrence of atrial fibrillation after catheter ablation[J]. J Interv Card Electrophysiol,2017,48(3):343-350.
[22] 江平,刘启明,涂涛,等. P波指数及左心耳排空速度对阵发性心房颤动导管消融术后复发的预测价值[J]. 中国介入心脏病学杂志,2019,27(2):90-99.
[23] Cabreca JA,Ho SY,Climent V,et al.The architecture of the left lateral atrial walla particulai anatomic region with implications for ablation of atrial fibrillation[J].Eur Heart J,2008,29(3):356-362.
[24] Ho SY,Cabrera JA,Sanchez-Quintana D.Left atrial anatomy revisited[J].Circ Arrhythm Electrophysiol,2015,5(1):220-228.
[25] Douglas YL,Jongbloed MR,Gittenberger-de Groot AC,et al. Histology of vascular myocardial wall of left atrial body after pulmonary venous incorporation[J]. Am J Cardiol,2006,97(5):662-670.
[26] Friedman DJ,Black-Maier EW,Barnett AS,et al.Left atrial appendage electrical isolation for treatment of atrial fibrillation:a meta-analysis[J].JACC Clin Electrophysiol,2018,4(1):112.
[27] AITurki A,Huynh T,Dawas A,et al.Left atrial appendage i-solation in atrial fibrillation catheter ablation:a meta-analysis[J]. J Arrhythmia,2018,34(5):478.
[28]杜先锋,储慧民,左心耳电学隔离术,中国介入心脏病学杂志,2019,27(5) :295-297.
[29] Santangeli P,Marchlinski FE.Techniques for the provoca-tion,localization,and ablation of non-pulmonary vein triggers for atrial fibrillation[J].Heart Rhythm,2017,14(7):1087-1096.
[30] Higa S,Lo LW,CHEN SA.Catheter ablation of paroxysmal atrial fibrillation originating from non-pulmonary vein areas[J]. Arrhythm Electrophysiol Rev,2018,7(4)?273-281.
[31]陶依娆,杨东辉,左心耳电隔离治疗心房颤动研究进展,中国心脏起搏与心电生理杂志,2020,34(1):44-46.

相似文献/References:

[1]贺鹏康,周菁.心房颤动治疗新技术——冷冻球囊消融[J].心血管病学进展,2016,(1):1.[doi:10.16806/j.cnki.issn.1004-3934.2016.01.001]
 HE Pengkang,ZHOU Jing.Cryoballoon Ablation, A Novel Technology for Atrial Fibrillation Treatment[J].Advances in Cardiovascular Diseases,2016,(4):1.[doi:10.16806/j.cnki.issn.1004-3934.2016.01.001]
[2]都明辉,施海峰*,佟佳宾,等.心房颤动消融相关性无症状性脑缺血[J].心血管病学进展,2016,(1):3.[doi:10.16806/j.cnki.issn.1004-3934.2016.01.002]
 DU Minghui,SHI Haifeng*,TONG Jiabin,et al.Silent Cerebral Ischemia Related to Atrial Fibrillation Ablation[J].Advances in Cardiovascular Diseases,2016,(4):3.[doi:10.16806/j.cnki.issn.1004-3934.2016.01.002]
[3]郑环杰,综述,肖骅,等.心房颤动抗栓治疗研究进展[J].心血管病学进展,2016,(2):142.[doi:10.16806/j.cnki.issn.1004-3934.2016.02.012]
 ZHENG Huanjie,XIAO Hua.Progress of Antithrombotic Therapy in Patients with Atrial Fibrillation[J].Advances in Cardiovascular Diseases,2016,(4):142.[doi:10.16806/j.cnki.issn.1004-3934.2016.02.012]
[4]张清,综述,罗素新,等.新型Xa 因子抑制剂———依度沙班在心房颤动患者抗凝治疗中的研究进展[J].心血管病学进展,2016,(2):151.[doi:10.16806/j.cnki.issn.1004-3934.2016.02.014]
 ZHANG Qing,LUO Suxin,TANG Jiong.Novel Factor Xa Inhibitors—Edoxaban in Prevention of Stroke in Patients with Atrial Fibrillation[J].Advances in Cardiovascular Diseases,2016,(4):151.[doi:10.16806/j.cnki.issn.1004-3934.2016.02.014]
[5]胡红玲,综述,罗素新,等.预防非瓣膜性心房颤动性脑卒中的治疗新进展[J].心血管病学进展,2016,(3):250.[doi:10.16806/j.cnki.issn.1004-3934.2016.03.009]
 HU Hongling,LUO Suxin.New Progress in the Treatment for Cerebral Apoplexy of Nonvalvular Atrial Fibrillation[J].Advances in Cardiovascular Diseases,2016,(4):250.[doi:10.16806/j.cnki.issn.1004-3934.2016.03.009]
[6]王超,杨国澍,综述,等.关附甲素治疗心房颤动的研究进展[J].心血管病学进展,2016,(3):254.[doi:10.16806/j.cnki.issn.1004-3934.2016.03.010]
 WANG Chao,YANG Guoshu,CAI Lin,et al.Research Progress of the Treatment of Atrial Fibrillation[J].Advances in Cardiovascular Diseases,2016,(4):254.[doi:10.16806/j.cnki.issn.1004-3934.2016.03.010]
[7]徐小东,综述,杨东辉,等.决奈达隆治疗心房颤动的现状及展望[J].心血管病学进展,2016,(4):368.[doi:10.16806/j.cnki.issn.1004-3934.2016.04.011]
 XU Xiaodong,YANG Donghui.Status and Prospect of Dronedarone in Treating Atrial Fibrillation[J].Advances in Cardiovascular Diseases,2016,(4):368.[doi:10.16806/j.cnki.issn.1004-3934.2016.04.011]
[8]张莎,储国俊,吴弘.经导管左心耳封堵术的临床应用进展[J].心血管病学进展,2015,(5):547.[doi:10.3969/j.issn.1004-3934.2015.05.006]
 ZHANG Sha,CHU Guojun,WU Hong.Clinial Application Advances in Left Atrial Appendage Closure[J].Advances in Cardiovascular Diseases,2015,(4):547.[doi:10.3969/j.issn.1004-3934.2015.05.006]
[9]汪俊,杨浩.心房颤动射频消融的术式演变[J].心血管病学进展,2015,(5):574.[doi:10.3969/j.issn.1004-3934.2015.05.013]
 WANG Jun,YANG Hao.Evolution of Radiofrequency Ablation of Atrial Fibrillation[J].Advances in Cardiovascular Diseases,2015,(4):574.[doi:10.3969/j.issn.1004-3934.2015.05.013]
[10]赵璐,苏立.心房颤动与离子通道重构研究进展[J].心血管病学进展,2015,(5):580.[doi:10.3969/j.issn.1004-3934.2015.05.014]
 ZHAO Lu,SU Li.Research Progress of Atrial Fibrillation and Ion Channel Remodeling[J].Advances in Cardiovascular Diseases,2015,(4):580.[doi:10.3969/j.issn.1004-3934.2015.05.014]
[11]李玉豪 雷长城.经皮左心耳封堵术在预防心房颤动患者脑卒中的应用前景[J].心血管病学进展,2019,(8):1083.[doi:10.16806/j.cnki.issn.1004-3934.2019.08.003]
 LI Yuhao,LEI Changcheng.Application Prospect of Percutaneous Left Atrial Appendage Occlusion in Prevention of Stroke in Patients with Atrial Fibrillation[J].Advances in Cardiovascular Diseases,2019,(4):1083.[doi:10.16806/j.cnki.issn.1004-3934.2019.08.003]
[12]王燕凤 刘汉雄 童兰 汪汉 张翠 成联超 蔡琳.左心耳电压分布规律的观察性研究[J].心血管病学进展,2020,(4):419.[doi:10.16806/j.cnki.issn.1004-3934.2020.04.022]
 WANG Yanfeng,LIU Hanxiong,TONG Lan,et al.Voltage Mapping of Left Atrial Appendage:Observational Study[J].Advances in Cardiovascular Diseases,2020,(4):419.[doi:10.16806/j.cnki.issn.1004-3934.2020.04.022]
[13]樊永强吕华胜 刘佳琦汤宝鹏 周贤惠 李耀东 邢强 张疆华 芦颜美.心房颤患者左心耳与导管消融后复发的相关性:单中心研究[J].心血管病学进展,2023,(10):949.[doi:10.16806/j.cnki.issn.1004-3934.202.10.019]
 FAN Yongqiang,LIU Jiaqi,LYU Huasheng,et al.Correlation Between Left Atrial Appendage Dysfunction and Recurrence after Catheter Ablation in Patients with Atrial Fibrillation:A Single Center Study[J].Advances in Cardiovascular Diseases,2023,(4):949.[doi:10.16806/j.cnki.issn.1004-3934.202.10.019]

备注/Memo

备注/Memo:
基金项目:海南省卫生厅课题(21A200125)
更新日期/Last Update: 2022-05-16