二尖瓣狭窄治疗对左心房功能的急性影响。
Acute effect of treatment of mitral stenosis on left atrium function.
作者信息
Rohani Atooshe, Kargar Shahram, Fazlinejad Afsoon, Ghaderi Fereshte, Vakili Vida, Falsoleiman Homa, Bagheri Ramin Khamene
机构信息
Department of Cardiology, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
Mashhad Cardiac Research Center, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.
出版信息
Ann Card Anaesth. 2017 Jan-Mar;20(1):42-44. doi: 10.4103/0971-9784.197832.
Abstract
AIM
Peak atrial longitudinal strain (PALS) is used to evaluate left atrium (LA) function in patients with mitral stenosis (MS), before and after percutaneous transmitral commissurotomy (PTMC) and mitral valve replacement (MVR).
METHODS
Patients with severe symptomatic MS, who were referred to our echocardiographic laboratory for a diagnostic examination before cardiac surgery or PTMC from October of 2014 to October of 2015, were included in the study.
RESULT
The peak systolic global LA strain improved post-PTMC (P < 0.001) and post-MVR (P = 0.012). This difference was statistically highly significant.
CONCLUSION
PALS is impaired in patients with severe symptomatic MS and improved acutely after treatment and may be a good indicator of LA function and may predict the right time for intervention on mitral valve.
摘要
目的
采用心房纵向应变峰值（PALS）评估二尖瓣狭窄（MS）患者经皮二尖瓣交界切开术（PTMC）和二尖瓣置换术（MVR）前后的左心房（LA）功能。
方法
纳入2014年10月至2015年10月因严重症状性MS转诊至我院超声心动图实验室进行心脏手术或PTMC术前诊断检查的患者。
结果
PTMC术后（P < 0.001）和MVR术后（P = 0.012），收缩期整体LA应变峰值改善。这种差异具有高度统计学意义。
结论
严重症状性MS患者的PALS受损，治疗后急性改善，可能是LA功能的良好指标，可预测二尖瓣干预的合适时机。
相似文献
1
Acute effect of treatment of mitral stenosis on left atrium function.二尖瓣狭窄治疗对左心房功能的急性影响。
Ann Card Anaesth. 2017 Jan-Mar;20(1):42-44. doi: 10.4103/0971-9784.197832.
2
Left atrial strain predicts improvement in left atrial functions of severe rheumatic mitral stenoses undergoing successful percutaneous transmitral commissurotomy.左房应变可预测行经皮二尖瓣交界分离术的重度风湿性二尖瓣狭窄患者左房功能的改善。
Echocardiography. 2023 Jul;40(7):642-646. doi: 10.1111/echo.15627. Epub 2023 Jun 4.
3
Study of immediate and late effects of successful PTMC on left atrial appendage function in patients with severe rheumatic mitral stenosis IN SINUS rhythm.研究窦性心律重度风湿性二尖瓣狭窄患者成功行经皮二尖瓣球囊扩张术对左心耳功能的即刻和晚期影响。
Indian Heart J. 2020 May-Jun;72(3):179-183. doi: 10.1016/j.ihj.2020.06.003. Epub 2020 Jun 18.
4
Immediate effect of percutaneous transvenous mitral commissurotomy on atrial electromechanical delay and P-wave dispersion in patients with severe mitral stenosis.经皮经静脉二尖瓣交界切开术对重度二尖瓣狭窄患者心房电机械延迟和P波离散度的即刻影响
Indian Heart J. 2015 Dec;67 Suppl 2(Suppl 2):S46-54. doi: 10.1016/j.ihj.2015.10.375. Epub 2015 Nov 21.
5
Left atrial function as a predictor of haemodynamic response in patients with mitral stenosis: a dobutamine stress echocardiographic study.左心房功能作为二尖瓣狭窄患者血流动力学反应的预测指标：一项多巴酚丁胺负荷超声心动图研究。
Acta Cardiol. 2003 Dec;58(6):539-45. doi: 10.2143/AC.58.6.2005319.
6
7
[Percutaneous transvenous mitral commissurotomy in managing rheumatic mitral stenosis].经皮经静脉二尖瓣交界切开术治疗风湿性二尖瓣狭窄
J Cardiol. 1991;21(4):943-9.
8
Differences in Characteristics, Left Atrial Reverse Remodeling, and Functional Outcomes after Mitral Valve Replacement in Patients with Low-Gradient Very Severe Mitral Stenosis.低梯度极重度二尖瓣狭窄患者二尖瓣置换术后的特征、左心房逆向重构及功能结局差异
J Am Soc Echocardiogr. 2016 Aug;29(8):759-767. doi: 10.1016/j.echo.2016.03.012. Epub 2016 Apr 20.
9
Early beneficial effect of preservation of papillo-annular continuity in mitral valve replacement on left ventricular function.二尖瓣置换术中保留乳头肌-瓣环连续性对左心室功能的早期有益影响。
J Heart Valve Dis. 2001 May;10(3):294-300; discussion 300-1.
10
Impact of atrial fibrillation on clinical status, atrial size and hemodynamics in patients after mitral valve replacement.二尖瓣置换术后患者心房颤动对临床状况、心房大小及血流动力学的影响。
J Heart Valve Dis. 2001 Nov;10(6):763-6.
引用本文的文献
1
Ultrasound assessment of the association between left atrial remodeling and fibrosis in patients with valvular atrial fibrillation: a clinical investigation.超声评估瓣膜性心房颤动患者左心房重构与纤维化之间的关联：一项临床研究。
BMC Cardiovasc Disord. 2025 Mar 5;25(1):149. doi: 10.1186/s12872-025-04580-4.
2
Left atrial strain by cardiac MRI feature tracking in mitral stenosis before and after balloon valvuloplasty.心脏 MRI 斑点追踪技术评价二尖瓣狭窄球囊扩张成形术前后左心房应变。
Int J Cardiovasc Imaging. 2024 Sep;40(9):1971-1978. doi: 10.1007/s10554-024-03190-z. Epub 2024 Aug 8.
3
Potential Diagnostic and Prognostic Values of Left Atrial Strain in Valvular Heart Disease.左心房应变在瓣膜性心脏病中的潜在诊断和预后价值
J Cardiovasc Echogr. 2024 Apr-Jun;34(2):41-49. doi: 10.4103/jcecho.jcecho_9_24. Epub 2024 Jun 28.
4
Immediate, short-term, and long-term effects of balloon mitral valvuloplasty on the left atrial global longitudinal strain and its correlation to the outcomes in patients with severe rheumatic mitral stenosis.球囊二尖瓣成形术对重度风湿性二尖瓣狭窄患者左心房整体纵向应变的即刻、短期和长期影响及其与预后的相关性。
Egypt Heart J. 2023 Dec 1;75(1):98. doi: 10.1186/s43044-023-00425-7.
5
Assessment of the Left Atrial Reservoir Function and Left Atrial Volume After Percutaneous Balloon Mitral Valvuloplasty Using Peak Atrial Longitudinal Strain.使用心房纵向应变峰值评估经皮球囊二尖瓣成形术后左心房储器功能和左心房容积。
Cureus. 2022 Feb 19;14(2):e22395. doi: 10.7759/cureus.22395. eCollection 2022 Feb.
6
Comprehensive echocardiographic and speckle tracking strain analysis in rheumatic mitral stenosis patients before and after transvenous mitral commissurotomy.经静脉二尖瓣交界切开术前后风湿性二尖瓣狭窄患者的综合超声心动图和斑点追踪应变分析
Int J Cardiovasc Imaging. 2022 Jun;38(6):1307-1316. doi: 10.1007/s10554-021-02518-3. Epub 2022 Jan 3.
7
Strain imaging to assess early effects of successful percutaneous balloon mitral valvotomy on left atrium mechanics.应变成像评估经皮气囊二尖瓣成形术成功后对左心房力学的早期影响。
Egypt Heart J. 2019 Nov 21;71(1):25. doi: 10.1186/s43044-019-0021-3.
本文引用的文献
1
Usefulness of Left Atrial Reservoir Size and Left Ventricular Untwisting Rate for Predicting Outcome in Primary Mitral Regurgitation.左心房储存器大小和左心室解旋速率对预测原发性二尖瓣反流预后的效用。
Am J Cardiol. 2015 Oct 15;116(8):1237-44. doi: 10.1016/j.amjcard.2015.07.038. Epub 2015 Jul 28.
2
Prediction of left atrial fibrosis with speckle tracking echocardiography in mitral valve disease: a comparative study with histopathology.斑点追踪超声心动图预测二尖瓣病变中的左心房纤维化：与组织病理学的对比研究。
Korean Circ J. 2012 May;42(5):311-8. doi: 10.4070/kcj.2012.42.5.311. Epub 2012 May 24.
3
Atrial reservoir function by strain rate imaging in asymptomatic mitral stenosis: prognostic value at 3 year follow-up.无症状二尖瓣狭窄患者心房储备功能的应变率成像：3年随访的预后价值
Eur J Echocardiogr. 2009 Aug;10(6):753-9. doi: 10.1093/ejechocard/jep058. Epub 2009 May 13.
4
Two-dimensional speckle-tracking echocardiography of the left atrium: feasibility and regional contraction and relaxation differences in normal subjects.左心房二维斑点追踪超声心动图：正常受试者的可行性及局部收缩和舒张差异
J Am Soc Echocardiogr. 2009 Mar;22(3):299-305. doi: 10.1016/j.echo.2008.12.017.
5
Atrial strain rate echocardiography can predict success or failure of cardioversion for atrial fibrillation: a combined transthoracic tissue Doppler and transoesophageal imaging study.心房应变率超声心动图可预测心房颤动复律的成功或失败：一项经胸组织多普勒与经食管成像联合研究
Int J Cardiol. 2007 Jan 8;114(2):202-9. doi: 10.1016/j.ijcard.2006.01.051. Epub 2006 Jul 5.
6
Atrial myocardial deformation properties predict maintenance of sinus rhythm after external cardioversion of recent-onset lone atrial fibrillation: a color Doppler myocardial imaging and transthoracic and transesophageal echocardiographic study.心房心肌变形特性预测近期发作的孤立性心房颤动体外复律后窦性心律的维持：一项彩色多普勒心肌成像及经胸和经食管超声心动图研究
Circulation. 2005 Jul 19;112(3):387-95. doi: 10.1161/CIRCULATIONAHA.104.463125. Epub 2005 Jul 8.
7
Strain rate imaging for noninvasive functional quantification of the left atrium: comparative studies in controls and patients with atrial fibrillation.应变率成像用于左心房无创功能定量分析：对照者与心房颤动患者的对比研究
J Am Soc Echocardiogr. 2005 Jul;18(7):729-36. doi: 10.1016/j.echo.2004.12.005.
8
Determinants of left atrial pressure in rheumatic mitral stenosis: role of left atrial compliance and "atrial stiffness".风湿性二尖瓣狭窄时左心房压力的决定因素：左心房顺应性和“心房僵硬度”的作用
Indian Heart J. 2004 Jan-Feb;56(1):27-31.
Zotero 插件