心力衰竭中的左心房血流动力学及临床应用
Left Atrial Hemodynamics and Clinical Utility in Heart Failure.
作者信息
Lin Chang-Yi, Lin Shu-I, Lee Ying-Hsiang, Chen Chun-Yen
机构信息
Cardiovascular Division, Department of Internal Medicine, Mackay Memorial Hospital, Mackay Medical College, 104217 New Taipei City, Taiwan.
Department of Nursing, Mackay Junior College of Medicine, Nursing and Management, 104217 New Taipei City, Taiwan.
出版信息
Rev Cardiovasc Med. 2024 Sep 11;25(9):325. doi: 10.31083/j.rcm2509325. eCollection 2024 Sep.
Abstract
Comprehensive knowledge of the left atrium (LA) and its pathophysiology has emerged as an important clinical and research focus in the heart failure (HF) arena. Although studies on HF focusing on investigating left ventricular remodeling are numerous, those on atrial structural and functional changes have received comparatively less attention. Studies on LA remodeling have recently received increasing attention, and LA pressure (LAP) has become a novel target for advanced monitoring and is a potential therapeutic approach for treating HF. Various devices specifically designed for the direct measurement of LAP have been developed to optimize HF treatment by reducing LAP. This review focuses on LA hemodynamic monitoring and effective LAP decompression.
摘要
对左心房（LA）及其病理生理学的全面了解已成为心力衰竭（HF）领域重要的临床和研究重点。尽管针对心力衰竭开展的、聚焦于研究左心室重构的研究众多，但有关心房结构和功能变化的研究相对较少受到关注。近期，关于左心房重构的研究日益受到关注，左心房压力（LAP）已成为高级监测的新靶点，也是治疗心力衰竭的一种潜在治疗方法。已开发出各种专门用于直接测量LAP的设备，以通过降低LAP来优化心力衰竭治疗。本综述聚焦于左心房血流动力学监测及有效的左心房压力减压。
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