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心房梗死的综合述评。

A Comprehensive Review of Atrial Infarction.

机构信息

Department of Internal Medicine, Kettering Health, Kettering, Ohio.

Division of Cardiovascular Medicine, Kettering Health, Kettering, Ohio.

出版信息

Tex Heart Inst J. 2024 Nov 22;51(2):e238334. doi: 10.14503/THIJ-23-8334. eCollection 2024 Jul-Dec.

Abstract

Atrial infarction is often undiagnosed in patients with underlying ischemic heart disease and is identified only later, upon autopsy. One of the main challenges in diagnosing the condition is its localization within the affected atria. Treatment of atrial infarction focuses on acute reperfusion therapy, long-term management of cardiovascular disease risk factors, consideration of antiarrhythmia medications, and anticoagulation therapy. This review covers the anatomy of the atrial vasculature, complications associated with atrial infarction, diagnostic criteria for use of electrocardiography and other imaging modalities, and overall prognosis and management.

摘要

心房梗死在患有潜在缺血性心脏病的患者中常常未被诊断,仅在尸检时发现。诊断该病症的主要挑战之一是确定其在受影响心房中的位置。心房梗死的治疗侧重于急性再灌注治疗、心血管疾病危险因素的长期管理、考虑抗心律失常药物和抗凝治疗。这篇综述涵盖了心房血管解剖、与心房梗死相关的并发症、心电图和其他成像方式的诊断标准,以及整体预后和管理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c99/11584634/21f03bf90a07/i1526-6702-51-2-e238334-f01.jpg

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