[1]赵珮璇 黄红琴 王丽萍 黄卿 徐敏.超声心动图评价急性心肌梗死患者左心房重构的研究进展[J].心血管病学进展,2025,(5):429.[doi:10.16806/j.cnki.issn.1004-3934.2025.05.011]
 ZHAO Peixuan,HUANG Hongqin,WANG Liping,et al.Echocardiographic Evaluation of Left Atrial Remodeling?n Patients with Acute Myocardial Infarction[J].Advances in Cardiovascular Diseases,2025,(5):429.[doi:10.16806/j.cnki.issn.1004-3934.2025.05.011]
点击复制

超声心动图评价急性心肌梗死患者左心房重构的研究进展()

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

卷:
期数:
2025年5期
页码:
429
栏目:
综述
出版日期:
2025-05-25

文章信息/Info

Title:
Echocardiographic Evaluation of Left Atrial Remodeling?n Patients with Acute Myocardial Infarction
作者:
赵珮璇1 黄红琴 2 王丽萍 2 黄卿 1 徐敏 2
(1.苏州大学附属第三医院 常州市第一人民医院心内科,江苏 常州 213003;2.苏州大学附属第三医院 常州市第一人民医院心超室,江苏 常州 213003)
Author(s):
ZHAO Peixuan1HUANG Hongqin2WANG Liping2HUANG Qing1XU Min2
(1. Department of Cardiology,The Third Affiliated Hospital of Suzhou University,Changzhou First People’s Hospital,Changzhou 213003,Jiangsu,China;2.Department of Echocardiogram,The Third Affiliated Hospital of Suzhou University,Changzhou First People’s Hospital,Changzhou 213003,Jiangsu,China)
关键词:
急性心肌梗死左心房重构超声心动图射血分数保留的心力衰竭心房颤动二尖瓣反流临床治疗
Keywords:
Acute myocardial infarctionLeft atrial remodelingEchocardiographyHeart failure with preserved ejection fractionAtrial fibrillationMitral regurgitationClinical treatment
DOI:
10.16806/j.cnki.issn.1004-3934.2025.05.011
摘要:
急性心肌梗死(AMI)是临床上常见的急危重症。AMI后心脏的自适应改变常导致左心房重构,影响心血管疾病的进展和预后。超声心动图是评价左心房结构、功能的首选无创检查方式,心脏超声新技术结合人工智能在评估左心房重构的应用中也展现出广阔前景。现就AMI后左心房重构的机制、超声心动图评估、相关不良心血管事件及预后、临床治疗展开综述。
Abstract:
Acute myocardial infarction (AMI) is a common clinical acute and critical disease. Following AMI,the heart undergoes adaptive changes that result in left atrial remodeling,which affects the progression and prognosis of cardiovascular diseases. Echocardiography is the top noninvasive choice for assessing the structure and function of the left atrium. The integration of advanced cardiac ultrasound techniques with artificial intelligence also shows broad prospects in evaluating left atrial remodeling. This article reviews the mechanism of left atrial remodeling after AMI,echocardiographic evaluation,and incidence,prognosis and clinical treatment of related adverse cardiovascular events

参考文献/References:

[1] Montero-Cabezas JM,Abou R,Chimed S,et al. Effects of atrial ischemia on left atrial remodeling in patients with ST-segment elevation myocardial infarction[J]. J Am Soc Echocardiogr,2023,36(2):163-171.

[2] Hoit BD. Left atrial size and function:role in prognosis[J]. J Am Coll Cardiol,2014,63(6):493-505.

[3] Inoue K,Kawakami H,Akazawa Y,et al. Echocardiographic assessment of atrial function:from basic mechanics to specific cardiac diseases[J]. J Cardiovasc Dev Dis,2022,9(3):68.

[4] Gensini GG,Buonanno C,Palacio A. Anatomy of the coronary circulation in living man. Coronary arteriography[J]. Dis Chest,1967,52(2):125-140.

[5] Thomas L,Abhayaratna WP. Left atrial reverse remodeling:mechanisms,evaluation,and clinical significance[J]. JACC Cardiovasc Imaging,2017,10(1):65-77.

[6] Caturano A,Vetrano E,Galiero R,et al. Cardiac hypertrophy:from pathophysiological mechanisms to heart failure development[J]. Rev Cardiovasc Med,2022,23(5):165.

[7] Hu YF,Yeh HI,Tsao HM,et al. Electrophysiological correlation and prognostic impact of heat shock protein 27 in atrial fibrillation[J]. Circ Arrhythm Electrophysiol,2012,5(2):334-340.

[8] Petrucci G,Rizzi A,Hatem D,et al. Role of oxidative stress in the pathogenesis of atherothrombotic diseases[J]. Antioxidants(Basel),2022,11(7):1408.

[9] Hartley B,Bassiouni W,Schulz R,et al. The roles of intracellular proteolysis in cardiac ischemia-reperfusion injury[J]. Basic Res Cardiol,2023,118(1):38.

[10] Xintarakou A,Tzeis S,Psarras S,et al. Atrial fibrosis as a dominant factor for the development of atrial fibrillation:facts and gaps[J]. Europace,2020,22(3):342-351.

[11] Li M,Ning Y,Tse G,et al. Atrial cardiomyopathy:from cell to bedside[J]. ESC Heart Fail,2022,9(6):3768-3784.

[12] Triposkiadis F,Pieske B,Butler J,et al. Global left atrial failure in heart failure[J]. Eur J Heart Fail,2016,18(11):1307-1320.

[13] Bozkurt E,Arslan S,Acikel M,et al. Left atrial remodeling in acute anterior myocardial infarction[J]. Echocardiography,2007,24(3):243-251.

[14] Grafton-Clarke C,Garg P,Swift AJ,et al. Cardiac magnetic resonance left ventricular filling pressure is linked to symptoms,signs and prognosis in heart failure[J]. ESC Heart Fail,2023,10(5):3067-3076.

[15] Russo C,Hahn RT,Jin Z,et al. Comparison of echocardiographic single-plane versus biplane method in the assessment of left atrial volume and validation by real time three-dimensional echocardiography[J]. J Am Soc Echocardiogr,2010,23(9):954-960.

[16] Park SM,Kim KC,Jeon MJ,et al. Assessment of left ventricular asynchrony using volume-time curves of 16 segments by real-time 3 dimensional echocardiography:comparison with tissue Doppler imaging[J]. Eur J Heart Fail,2007,9(1):62-67.

[17] Kawel-Boehm N,Bremerich J. The Importance of left atrial function after myocardial infarction[J]. Radiology,2020,296(2):310-311.

[18] Yoon YE,Oh IY,Kim SA,et al. Echocardiographic predictors of progression to persistent or permanent atrial fibrillation in patients with paroxysmal atrial fibrillation (E6P Study)[J]. J Am Soc Echocardiogr,2015,28(6):709-717.

[19] López-Galvez R,Rivera-Caravaca JM,Roldán V,et al. Imaging in atrial fibrillation:a way to assess atrial fibrosis and remodeling to assist decision-making[J]. Am Heart J,2023,258:1-16.

[20] Chaudhuri AA,Simmons C Jr,Ellison D,et al. Atrial myxoma presenting as myocardial infarction diagnosed by echocardiography,managed endoscopically with robot-assisted surgery[J]. Cureus,2016,8(2):e484.

[21] Gruca MM,Slivnick JA,Singh A,et al. Noninvasive assessment of left ventricular end-diastolic pressure using machine learning-derived phasic left atrial strain[J]. Eur Heart J Cardiovasc Imaging,2023,25(1):18-26.

[22] Jiang B,Guo N,Ge Y,et al. Development and application of artificial intelligence in cardiac imaging[J]. Br J Radiol,2020,93(1113):20190812.

[23] Legallois D,Hodzic A,Milliez P,et al. Left atrial strain quantified after myocardial infarction is associated with early left ventricular remodeling[J]. Echocardiography,2022,39(12):1581-1588.

[24] Hoshida S,Tachibana K,Shinoda Y,et al. Relation of left atrial overload indices with prognostic endpoints in heart failure and preserved ejection fraction[J]. ESC Heart Failure,2022,9(3):1784-1791.

[25] Jin X,Nauta JF,Hung CL,et al. Left atrial structure and function in heart failure with reduced (HFrEF) versus preserved ejection fraction (HFpEF):systematic review and meta-analysis[J]. Heart Fail Rev,2022,27(5):1933-1955.

[26] Petersen JK,Butt JH,Yafasova A,et al. Incidence of ischaemic stroke and mortality in patients with acute coronary syndrome and first-time detected atrial fibrillation:a nationwide study[J]. Eur Heart J,2021,42(44):4553-4561.

[27] Luo J,Xu S,Li H,et al. Long-term impact of new-onset atrial fibrillation complicating acute myocardial infarction on heart failure[J]. ESC Heart Fail,2020,7(5):2762-2772.

[28] ?amc? S,Ar? H,Ar? S,et al. The predictive value of the left atrial kinetic energy for atrial fibrillation recurrence[J]. Cureus,2022,14(9):e28714.

[29] Vahanian A,Beyersdorf F,Praz F,et al. 2021 ESC/EACTS Guidelines for the management of valvular heart disease[J]. Eur Heart J,2022,43(7):561-632.

[30] Byrne RA,Rossello X,Coughlan JJ,et al. 2023 ESC Guidelines for the management of acute coronary syndromes[J]. Eur Heart J,2023,44(38):3720-3826.

[31] McDonagh TA,Metra M,Adamo M,et al. 2023 Focused update of the 2021 ESC guidelines for the diagnosis and treatment of acute and chronic heart failure[J]. Eur Heart J,2023,44(37):3627-3639.

[32] Zhu T,Zhang W,Yang Q,et al. Effect of angiotensin receptor-neprilysin inhibitor on atrial electrical instability in atrial fibrillation[J]. Front Cardiovasc Med,2022,9:1048077.

[33] Chen YC,Voskoboinik A,Gerche A,et al. Prevention of pathological atrial remodeling and atrial fibrillation:JACC state-of-the-art review[J]. J Am Coll Cardiol,2021,77(22):2846-2864.

[34] 徐敏,刘飞,葛志翔,等. 阵发性心房颤动患者环肺静脉射频消融术后复发的预测因素研究[J]. 中华医学超声杂志(电子版),2020,17(12):1220-1226.

[35] Damluji AA,van Diepen S,Katz JN,et al. Mechanical complications of acute myocardial infarction:A Scientific Statement From the American Heart Association[J]. Circulation,2021,144(2):e16-e35.

相似文献/References:

[1]林远龙,刘现亮.无复流现象:从基础到临床[J].心血管病学进展,2016,(1):53.[doi:10.16806/j.cnki.issn.1004-3934.2016.01.014]
 LIN Yuanlong,LIU Xianliang.From Bench to Bed:No-reflow Phenomenon[J].Advances in Cardiovascular Diseases,2016,(5):53.[doi:10.16806/j.cnki.issn.1004-3934.2016.01.014]
[2]赵劲东,综述,董平栓,等.合并多支血管病变的急性ST段抬高型心肌梗死介入术治疗策略的研究进展[J].心血管病学进展,2016,(3):295.[doi:10.16806/j.cnki.issn.1004-3934.2016.03.021]
 ZHAO Jindong,DONG Pingshuan.Research Progress of Interventional Therapy in Patients with ST-elevation Myocardial Infarction and Multivessel Disease[J].Advances in Cardiovascular Diseases,2016,(5):295.[doi:10.16806/j.cnki.issn.1004-3934.2016.03.021]
[3]余正春,综述,马小静,等.急性心肌梗死并发心源性休克的治疗进展[J].心血管病学进展,2016,(4):441.[doi:10.16806/j.cnki.issn.1004-3934.2016.04.029]
 YU Zhengchun,MA Xiaojing.Treatment of Cardiogenic Shock Complicating Acute Myocardial Infarction[J].Advances in Cardiovascular Diseases,2016,(5):441.[doi:10.16806/j.cnki.issn.1004-3934.2016.04.029]
[4]袁帅,毛玉琳,钱志敏,等.经皮冠脉介入术在高龄老年患者治疗中的研究新进展[J].心血管病学进展,2019,(6):864.[doi:10.16806/j.cnki.issn.1004-3934.2019.06.007]
 YUAN Shuai,MAO Yulin,QIAN Zhimin,et al.New Progress in Study of PCI in treatment of Elderly Patients[J].Advances in Cardiovascular Diseases,2019,(5):864.[doi:10.16806/j.cnki.issn.1004-3934.2019.06.007]
[5]元洋洋 李波.Selvester QRS评分系统研究进展[J].心血管病学进展,2019,(7):985.[doi:10.16806/j.cnki.issn.1004-3934.2019.07.005]
 YUAN YangyangLI Bo.Research Progress of Selvester QRS Scoring System[J].Advances in Cardiovascular Diseases,2019,(5):985.[doi:10.16806/j.cnki.issn.1004-3934.2019.07.005]
[6]翁子骞 于波.血栓抽吸在急性ST段抬高型心肌梗死中的研究进展[J].心血管病学进展,2019,(7):1035.[doi:10.16806/j.cnki.issn.1004-3934.2019.07.018]
 WENG ZiqianYU Bo.Thrombus aspiration in acute ST-segment elevation myocardial infarction[J].Advances in Cardiovascular Diseases,2019,(5):1035.[doi:10.16806/j.cnki.issn.1004-3934.2019.07.018]
[7]林莉 韦铁民.急性心肌梗死后心脏破裂[J].心血管病学进展,2019,(7):1039.[doi:10.16806/j.cnki.issn.1004-3934.2019.07.019]
 LIN LiWEI Tiemin.Post-infarction Cardiac Rupture[J].Advances in Cardiovascular Diseases,2019,(5):1039.[doi:10.16806/j.cnki.issn.1004-3934.2019.07.019]
[8]杨颜瑜,苏星,谭敏,等.炎症指标与急性心肌梗死研究进展[J].心血管病学进展,2019,(6):947.[doi:10.16806/j.cnki.issn.1004-3934.2019.0.027]
 YANG Yanyu,SU Xing,TAN Min,et al.Relationship Between Inflammation Index and Acute Myocardial Infarction[J].Advances in Cardiovascular Diseases,2019,(5):947.[doi:10.16806/j.cnki.issn.1004-3934.2019.0.027]
[9]崔小豪 杨志明.和肽素在急性心肌梗死中的研究进展[J].心血管病学进展,2019,(5):726.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.016]
 CUI Xiaohao,YANG Zhiming.Copeptin in Acute Myocardial Infarction[J].Advances in Cardiovascular Diseases,2019,(5):726.[doi:10.16806/j.cnki.issn.1004-3934.2019.05.016]
[10]潘甜 马康华.急性心肌梗死经皮冠脉介入术后冠状动脉无复流的预防和治疗进展[J].心血管病学进展,2019,(5):730.[doi:10.16806/j.cnki.issn.1004-3932019.05.017]
 PAN Tian,MA Kanghua.Prevention and Treatment of Coronary Artery No-Reflow after Percutaneous Coronary Intervention in Patients with Acute Myocardial Infarction[J].Advances in Cardiovascular Diseases,2019,(5):730.[doi:10.16806/j.cnki.issn.1004-3932019.05.017]

更新日期/Last Update: 2025-06-26