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左心房应变——临床应用的当前综述

Left Atrial Strain-Current Review of Clinical Applications.

作者信息

Rusali Constantin Andrei, Lupu Ioana Caterina, Rusali Lavinia Maria, Cojocaru Lucia

机构信息

Department of Cardiology, Constanta County Clinical and Emergency Hospital, Ovidius University of Constanta, 145 Tomis Boulevard, 900591 Constanta, Constanta County, Romania.

Department of Internal Medicine, Ovidius University of Constanta, 145 Tomis Boulevard, 900591 Constanta, Constanta County, Romania.

出版信息

Diagnostics (Basel). 2025 May 27;15(11):1347. doi: 10.3390/diagnostics15111347.

Abstract

Left atrial strain has gained significant attention in recent years due to its potential to provide valuable insights into the function and mechanics of the left atrium. This review aims to evaluate the current applications of LA strain in clinical practice, particularly in assessing various cardiac conditions, including heart failure, atrial fibrillation, valvular heart disease, and coronary artery disease. We summarize the latest evidence regarding the role of left atrial strain in assessing left atrial remodeling, predicting outcomes, and its potential use as a prognostic tool. Unlike previous reviews focusing on single disease states, this review synthesizes emerging data across multiple cardiac conditions, highlighting novel implications for clinical practice. Left atrial strain emerges as a promising non-invasive marker for evaluating atrial function and guiding clinical decision-making. However, further research must fully establish its role across diverse patient populations and clinical settings.

摘要

近年来,左心房应变因其能够为左心房的功能和力学提供有价值的见解而备受关注。本综述旨在评估左心房应变在临床实践中的当前应用,特别是在评估各种心脏疾病方面,包括心力衰竭、心房颤动、心脏瓣膜病和冠状动脉疾病。我们总结了关于左心房应变在评估左心房重构、预测预后以及作为预后工具的潜在用途方面的最新证据。与以往专注于单一疾病状态的综述不同,本综述综合了多种心脏疾病的新出现的数据,突出了对临床实践的新启示。左心房应变成为评估心房功能和指导临床决策的一个有前景的非侵入性标志物。然而,进一步的研究必须全面确立其在不同患者群体和临床环境中的作用。

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