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非瓣膜性心房颤动患者左心耳速度与炎症指标的关联

Left atrial appendage velocity, association with inflammatory indices in non-valvular atrial fibrillation patients.

作者信息

Khesali Hamideh, Ghaffari Jolfayi Amir, Soheili Amirali, Rezapour Parinaz, Adimi Sara, Alirezaei Toktam

机构信息

Echocardiography research Center, Rajaie cardiovascular medical and research Center, Iran University of Medical Science, Tehran, Iran.

Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.

出版信息

Future Cardiol. 2025 Feb;21(2):103-111. doi: 10.1080/14796678.2025.2458414. Epub 2025 Jan 28.

Abstract

INTRODUCTION

Decreased left atrial appendage emptying velocity (LAAV) is a marker for thrombus formation. This study evaluates the association between LAAV and inflammatory indices in non-valvular atrial fibrillation (AF) patients.

METHODS

The study population was 1428 patients with AF, 875 of whom enrolled. Based on the LAAV, patients were divided into three groups of 262 patients with a velocity of <25 cm/s, 360 patients with a velocity of 25 to 55 cm/s, and 253 patients with a velocity of >55 cm/s to assess and compare in terms of inflammatory indices, including the platelet-to-lymphocyte ratio, neutrophil-to-lymphocyte ratio, systemic immune inflammation index, neutrophil - to - platelet ratio and white blood cell-to-platelet ratio (WPR).

RESULTS

There was no statistical difference in the level of inflammatory indices between the three groups, and none of them were related to LAAV ( > .05) except WPR with a weak negative correlation ( = 0.01,  = -0.10). Patients with lower LAAV were found to have a higher age ( = 0.001), decreased left ventricular ejection fraction ( = 0.001) and greater left atrial volume index ( = 0.001).

CONCLUSION

This study did not show any association between inflammatory indices and LAAV in non-valvular AF patients except for the WPR.

摘要

引言

左心耳排空速度降低(LAAV)是血栓形成的一个标志物。本研究评估非瓣膜性心房颤动(AF)患者中LAAV与炎症指标之间的关联。

方法

研究人群为1428例AF患者,其中875例纳入研究。根据LAAV,将患者分为三组:262例速度<25 cm/s、360例速度为25至55 cm/s、253例速度>55 cm/s,以评估和比较炎症指标,包括血小板与淋巴细胞比值、中性粒细胞与淋巴细胞比值、全身免疫炎症指数、中性粒细胞与血小板比值以及白细胞与血小板比值(WPR)。

结果

三组之间炎症指标水平无统计学差异,除WPR有弱负相关(r = 0.01,P = -0.10)外,其他指标均与LAAV无关(P>0.05)。发现LAAV较低的患者年龄较大(P = 0.001)、左心室射血分数降低(P = 0.001)且左心房容积指数较大(P = 0.001)。

结论

本研究表明,除WPR外,非瓣膜性AF患者的炎症指标与LAAV之间无任何关联。

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Left atrial appendage structural characteristics predict thrombus formation.左心耳结构特征可预测血栓形成。
J Cardiovasc Electrophysiol. 2023 Aug;34(8):1683-1689. doi: 10.1111/jce.15994. Epub 2023 Jul 5.

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