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心房颤动患者的卒中风险评估:来自左心耳的见解

Stroke risk evaluation for patients with atrial fibrillation: Insights from left atrial appendage.

作者信息

Fang Runxin, Li Yang, Wang Jun, Wang Zidun, Allen John, Ching Chi Keong, Zhong Liang, Li Zhiyong

机构信息

School of Biological Science and Medical Engineering, Southeast University, Nanjing, China.

Zhongda Hospital, The Affiliated Hospital of Southeast University, Nanjing, China.

出版信息

Front Cardiovasc Med. 2022 Aug 22;9:968630. doi: 10.3389/fcvm.2022.968630. eCollection 2022.

Abstract

Left atrial appendage (LAA) is believed to be a common site of thrombus formation in patients with atrial fibrillation (AF). However, the commonly-applied stroke risk stratification model (such as. CHADS-VASc score) does not include any structural or hemodynamic features of LAA. Recent studies have suggested that it is important to incorporate LAA geometrical and hemodynamic features to evaluate the risk of thrombus formation in LAA, which may better delineate the AF patients for anticoagulant administration and prevent strokes. This review focuses on the LAA-related factors that may be associated with thrombus formation and cardioembolic events.

摘要

左心耳(LAA)被认为是心房颤动(AF)患者血栓形成的常见部位。然而,常用的卒中风险分层模型(如CHADS-VASc评分)并未纳入LAA的任何结构或血流动力学特征。最近的研究表明,纳入LAA的几何和血流动力学特征以评估LAA中血栓形成的风险很重要,这可能更好地确定需要抗凝治疗的AF患者并预防卒中。本综述重点关注可能与血栓形成和心源性栓塞事件相关的LAA相关因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b233/9441763/ccb3a110d95c/fcvm-09-968630-g0001.jpg

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