Ji Mengmeng, He Lin, Gao Lang, Lin Yixia, Xie Mingxing, Li Yuman
Department of Ultrasound Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
Clinical Research Center for Medical Imaging in Hubei Province, Wuhan 430022, China.
Diagnostics (Basel). 2022 Aug 5;12(8):1898. doi: 10.3390/diagnostics12081898.
Atrial fibrillation (AF) is the most common arrhythmia with significant morbidity and mortality. Exacerbated by the aging population, the prevalence of AF is gradually increasing. Accurate evaluation of structure and function of left atrium (LA) has important prognostic significance in patients with AF. Echocardiography is the imaging technique of first choice to assess LA structure and function due to its better availability, accessibility and safety over cardiac computed tomography and cardiac magnetic resonance. Therefore, the aim of this review is to summarize the recent research progress of evaluating LA size by three-dimensional echocardiography and LA function by speckle tracking echocardiography (STE) in predicting the occurrence and recurrence of AF and determining the risk of stroke in AF. In addition, we summarized the role of traditional echocardiography in detecting AF patients that are at high risk of heart failure or cardiovascular death.
心房颤动（AF）是最常见的心律失常，具有显著的发病率和死亡率。随着人口老龄化加剧，AF的患病率正在逐渐上升。准确评估左心房（LA）的结构和功能对AF患者具有重要的预后意义。由于超声心动图相较于心脏计算机断层扫描和心脏磁共振成像，具有更好的可用性、可及性和安全性，因此是评估LA结构和功能的首选成像技术。因此，本综述的目的是总结三维超声心动图评估LA大小以及斑点追踪超声心动图（STE）评估LA功能在预测AF的发生和复发以及确定AF患者中风风险方面的最新研究进展。此外，我们还总结了传统超声心动图在检测有心力衰竭或心血管死亡高风险的AF患者中的作用。
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