[1]金铁托 阮中宝.左心耳封堵术对患者系统内稳态的影响[J].心血管病学进展,2020,(12):1268-1271.[doi:10.16806/j.cnki.issn.1004-3934.2020.12.011]
 JIN Tietuo,RUAN Zhongbao.Effect of Left Atrial Appendage Closure on Systemic Homeostasis in Patients[J].Advances in Cardiovascular Diseases,2020,(12):1268-1271.[doi:10.16806/j.cnki.issn.1004-3934.2020.12.011]
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左心耳封堵术对患者系统内稳态的影响()
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《心血管病学进展》[ISSN:51-1187/R/CN:1004-3934]

卷:
期数:
2020年12期
页码:
1268-1271
栏目:
综述
出版日期:
2020-12-25

文章信息/Info

Title:
Effect of Left Atrial Appendage Closure on Systemic Homeostasis in Patients
作者:
金铁托1 阮中宝2
(1.大连医科大学研究生院,辽宁 大连116044;2.泰州市人民医院心血管内科,江苏 泰州 225300)
Author(s):
JIN Tietuo1RUAN Zhongbao2
(1.Dalian Medical University Graduate School,Dalian 116044,Liaoning,China;2. Department of Cardiology,Taizhou Peoples Hospital,Taizhou 225300,Jiangsu,China)
关键词:
非瓣膜性心房颤动左心耳封堵术系统内稳态
Keywords:
Nonvalvular atrial fibrillation Left atrial appendage closure Systemic homeostasis
DOI:
10.16806/j.cnki.issn.1004-3934.2020.12.011
摘要:
目前世界范围内非瓣膜性心房颤动患者人数逐年增加,这种疾病的远期危害较大,其导致的脑卒中及体循环栓塞事件常可危及生命,并严重影响患者的生存质量。预防心房颤动相关脑卒中已成为心房颤动患者综合管理策略中的主要内容。作为预防非瓣膜性心房颤动相关脑卒中的新技术,左心耳封堵术的疗效和安全性越来越得到证实,但有关左心耳封堵术对患者系统内稳态影响的临床研究较少。现对此做系统综述,探讨左心耳封堵术对系统内稳态的影响。
Abstract:
At present,the number of patients with nonvalvular atrial fibrillation is increasing year by year?in the world,and the long-term harm of this disease is great. Stroke and systemic circulation embolism events caused by nonvalvular atrial fibrillation can often endanger life and seriously affect the quality of life of patients. The prevention of stroke related to atrial fibrillation has become the main content of comprehensive management strategies for patients with atrial fibrillation. As a new technique for the prevention of stroke in nonvalvular atrial fibrillation,the efficacy and safety of left atrial appendage closure have been increasingly confirmed. However,there are few clinical studies on the effect of left atrial appendage closure on patients’ systemic homeostasis. This paper makes a systematic review to explore the influence of left atrial appendage closure on the systemic homeostasis.

参考文献/References:


[1] Schnabel RB,Yin X,Gona P,et al. Fifty-year trends in atrial fibrillation prevalence,incidence,risk factors,and mortality in the community[J].Lancet,2015,386(9989):154-162.

[2] January CT,Wann LS,Calkins H,et al. 2019 AHA/ACC/HRS Focused Update of the 2014 AHA/ACC/HRS Guideline for the Management of Patients With Atrial Fibrillation[J]. Circulation,2019,140(2):e125-e151.

[3] Chang SS,Dong JZ,Ma CS,et al. Current status and time trends of oral anticoagulation use among chinese patients with nonvalvular atrial fibrillation: the chinese atrial fibrillation registry study[J]. Stroke,2016,47(7):1803-1810.

[4] Aberg H. Atrial Fibrillation: I. A study of atrial thrombosis and systemic embolism in a necropsy material[J].Acta Med Scand,1969,185(1-6):373-379.

[5] Blackshear JL,Odell JA. Appendage obliteration to reduce stroke in cardiac surgical patients with atrial fibrillation[J].Ann Thorac Surg,1996,61(2):755-759.

[6] 熊婧,陈维.经皮左心耳封堵术研究回顾与展望[J].中国介入心脏病学杂志,2018,26(10):589-592.

[7] Reddy VY,Sievert H,Halperin J,et al. Percutaneous left atrial appendage closure vs warfarin for atrial fibrillation: a randomized clinical trial[J].JAMA,2014,312(19):1988-1998.

[8] Reddy VY,Holmes D,Doshi SK,et al. Safety of percutaneous left atrial appendage closure: results from the Watchman Left Atrial Appendage System for Embolic Protection in Patients with AF (PROTECT AF) clinical trial and the Continued Access Registry[J]. Circulation,2011,123(4):417-424.

[9] Reddy VY,MoBius-Winkler S,Miller M A,et al. Left atrial appendage closure with the watchman device in patients with a contraindication for oral anticoagulation[J]. J Am Coll Cardiol,2013,61(25):2551-2556.

[10] Holmes DJ,Kar S,Price MJ,et al. Prospective randomized evaluation of the Watchman Left Atrial Appendage Closure device in patients with atrial fibrillation versus long-term warfarin therapy: the PREVAIL trial[J]. J Am Coll Cardiol,2014,64(1):1-12.

[11] Boersma LV,Ince H,Kische S,et al.Evaluating real-world clinical outcomes in atrial fibrillation patients receiving the WATCHMAN left atrial appendage closure technology[J].Circ Arrhythm Electrophysiol,2019,12(4):e006841.

[12] Wilber DJ. Neurohormonal regulation and the left atrial appendage[J]. J Am Coll Cardiol,2018,71(2):145-147.

[13] Kappagoda CT,Linden RJ,Saunders DA . The effect on heart rate of distending the atrial appendages in the dog[J]. J Physiol,1972,225(3):705-719.

[14] Agmon Y,Khandheria BK,Meissner I,et al. Left atrial appendage flow velocities in subjects with normal left ventricular function[J]. Am J Cardiol,2000,86(7):769-773.

[15] Chapeau C,Gutkowska J,Schiller PW,et al. Localization of immunoreactive synthetic atrial natriuretic factor (ANF) in the heart of various animal species[J]. J Histochem Cytochem,1985,33(6):541-550.

[16] Inoue S,Murakami Y,Sano K,et al.Atrium as a source of brain natriuretic polypeptide in patients with atrial fibrillation[J].J Card Fail,2000,6(2):92-96.

[17] 亢扬. 心力衰竭患者血浆B型利钠肽/氨基末端利钠肽原水平正常的研究进展[J]. 心血管病学进展,2018,39(4):622-626.

[18] Pandey KN. Guanylyl cyclase/atrial natriuretic peptide receptor-A: role in the pathophysiology of cardiovascular regulation[J]. Can J Physiol Pharmacol,2011,89(8):557-573.

[19] Haanwinckel MA, Elias LK, Favaretto AL,et al. Oxytocin mediates atrial natriuretic peptide release and natriuresis after volume expansion in the rat[J].Proc Natl Acad Sci U S A,1995,92(17):7902-7906.

[20] Hopkins WE, Chen Z, Fukagawa NK,et al. Fukagawa. Increased atrial and brain natriuretic peptides in adults with cyanotic congenital heart disease; enhanced understanding of the relationship between hypoxia and natriuetic peptide secretion[J]. Circulation,2004,109(23):2872-2877.

[21] Stewart JM,Dean R,Brown M,et al. Bilateral atrial appendectomy abolishes increased plasma atrial natriuretic peptide release and blunts sodium and water excretion during volume loading in conscious dogs[J]. Circ Res,1992,70(4):724-732.

[22] Benjamin BA,Metzler CH,Peterson TV. Chronic atrial appendectomy alters sodium excretion in conscious monkeys[J].Am J Physiol,1988,254(4):R699-R705.

[23] Yoshihara F,Nishikimi T,Kosakai Y,et al. Atrial natriuretic peptide secretion and body fluid balance after bilateral atrial appendectomy by the maze procedure[J].J Thorac Cardiovasc Surg,1998,116(2):213-219.

[24] Majunke N,Sandri M,Adams V,et al. Atrial and brain natriuretic peptide secretion after percutaneous closure of the left atrial appendage with the watchman device[J]. J Invasive Cardiol,2015,27(10):448-452.

[25] Lakkireddy D,Turagam M,Afzal MR,et al. Left atrial appendage closure and systemic homeostasis[J]. J Am Coll Cardiol,2018,71(2):135-144.

[26] Luani B,Rauwolf T,Groscheck T,et al. Serial assessment of natriuretic peptides in patients undergoing interventional closure of the left atrial appendage[J]. Heart Lung Circ,2018,27(7):828-834.

[27] Cruz-Gonzalez I,Palazuelos Molinero J,Valenzuela M,et al. Brain natriuretic peptide levels variation after left atrial appendage occlusion[J].Catheter Cardiovasc Interv,2016,87(1):E39-E43.

[28] Behnes M,Sartorius B,Wenke A,et al. Percutaneous closure of left atrial appendage affects mid-term release of MR-proANP[J].Sci Rep,2017,7(1):9028.

[29] 高虹,杨波,叶距亨,等.左心耳封堵术对非瓣膜性房颤患者心功能和神经内分泌功能的影响[J].中华生物医学工程杂志,2017,023(1):37-40.

[30] de Bold AJ,Bruneau BG,Kuroski de Bold ML.Mechanical and neuroendocrine regulation of the endocrine heart[J].Cardiovasc Res,1996,31(1):7-18.

[31] Bergmann MW, Landmesser U. Left atrial appendage closure for stroke prevention in non-valvular atrial fibrillation: rationale, devices in clinical development and insights into implantation techniques[J]. EuroIntervention,2014,10(4):497-504.

[32] Maybrook R,Pillarisetti J,Yarlagadda V,et al.Electrolyte and hemodynamic changes following percutaneous left atrial appendage ligation with the LARIAT device[J].J Interv Card Electrophysiol,2015,43(3):245-251.

[33] Sattler K,Behnes M,Barth C,et al. Occlusion of left atrial appendage affects metabolomic profile: focus on glycolysis,tricarboxylic acid and urea metabolism[J]. Metabolomics,2017,13(11):127.

[34] Yücel G,Behnes M,Barth C,et al.Percutaneous closure of left atrial appendage significantly affects lipidome metabolism[J]. Sci Rep,2018,8(1):5894.

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备注/Memo

备注/Memo:
通信作者:阮中宝,E-mail:tzcardiac@163.com
更新日期/Last Update: 2021-02-22