解读心律：左心耳血流在房性快速性心律失常诊断中的附加价值
Decoding the Rhythm: The Additive Value of Left Atrial Appendage Flow in the Diagnosis of Atrial Tachyarrhythmias.
作者信息
Aker Amir, Avidan Yuval, Dov Nissan Ben, Adawi Salim
机构信息
Department of Cardiology, Lady Davis Carmel Medical Center, Haifa, Israel.
Faculty of Medicine, Technion-Israel Institute of Medicine, Haifa, Israel.
出版信息
J Cardiovasc Echogr. 2025 Jan-Mar;35(1):19-22. doi: 10.4103/jcecho.jcecho_70_24. Epub 2025 Apr 30.
BACKGROUND
The diagnosis of atrial tachyarrhythmias might be challenging at times. Assessing Doppler flow patterns of the left atrial appendage (LAA) using echocardiography, mainly transesophageal echocardiography, represents a valuable tool for establishing the diagnosis of atrial tachyarrhythmias, especially when the diagnosis remains unclear.
RESULT
Despite its effectiveness and simplicity, this technique is often underused in routine clinical practice.
CONCLUSION
This paper aims to underscore the effectiveness of using LAA flow in conjunction with electrocardiograms for diagnosing atrial tachyarrhythmias in complex cases, particularly atrial flutter, and to encourage physicians to adopt this approach to better identify patients at risk for the recurrence of atrial tachyarrhythmias and LAA thrombus formation.
背景
房性快速性心律失常的诊断有时可能具有挑战性。使用超声心动图，主要是经食管超声心动图评估左心耳（LAA）的多普勒血流模式，是确立房性快速性心律失常诊断的一种有价值的工具，尤其是在诊断仍不明确时。
结果
尽管该技术有效且简便，但在常规临床实践中却常常未得到充分利用。
结论
本文旨在强调在复杂病例中，尤其是心房扑动时，联合使用LAA血流与心电图诊断房性快速性心律失常的有效性，并鼓励医生采用这种方法，以更好地识别有房性快速性心律失常复发和LAA血栓形成风险的患者。
Zotero 插件