| Citation: |
WANG Junwei, DU Lijun, WANG Xu, ZENG Ling, SHEN Zhao, HOU Bo. Application of transesophageal echocardiography in the assessment of left atrial ear volume and function changes in patients with patent foramen ovale and atrial fibrillation[J]. Journal of Clinical Medicine in Practice, 2024, 28(9): 20-24. DOI: 10.7619/jcmp.20240126
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To investigate the application of transesophageal echocardiography in the evaluation of left atrial ear volume and function changes in patients with patent foramen ovale and atrial fibrillation.
Eighty patients with patent foramen ovale were selected as the study objects, and were divided into atrial fibrillation group (n=44) and non-atrial fibrillation group (n=36), and 30 healthy subjects were selected as control group. Transesophageal echocardiography was performed in three groups. The left atrial appendage volume and changes of function in three groups were compared.
The left atrial appendage maximum volume (LAAVmax), left atrial appendage minimum volume (LAAVmin), left atrial appendage opening maximum area (MA) and left atrial appendage opening maximum length diameter (MD) in the atrial fibrillation group and non-atrial fibrillation group were significantly higher, and the left atrial appendage maximum emptying velocity (LAAeV) and left atrial appendage maximum filling velocity (LAAfV) were significantly lower than those of the control group (P < 0.05). The LAAVmax, LAAVmin as well as MA and MD of left auricular opening in patients with left auricular spontaneous imaging (SEC) in the atrial fibrillation group were significantly higher than those in the non-atrial fibrillation group, and LAAeV and LAAfV were significantly lower than those in the non-atrial fibrillation group (P < 0.05). After treatment, the incidence of end-point events in the atrial fibrillation was significantly higher than that in the non-atrial fibrillation group (P < 0.05).
The application of transesophageal echocardiography in the evaluation of left atrial ear volume and function changes in patients with patent foramen ovale and atrial fibrillation is effective. The left atrial appendage function of patients with atrial fibrillation is worse than that of patients without atrial fibrillation.
| [1] |
郭朝锋, 王岩青, 王晓静, 等. 经食管实时三维超声心动图在经皮卵圆孔未闭封堵中的应用价值[J]. 临床超声医学杂志, 2022, 24(1): 36-39. https://www.cnki.com.cn/Article/CJFDTOTAL-LCCY202201007.htm
|
| [2] |
谢舒, 邵华, 刘斌, 等. 决奈达隆治疗阵发性心房颤动的疗效观察[J]. 实用临床医药杂志, 2023, 27(7): 89-92. doi: 10.7619/jcmp.20223669
|
| [3] |
龚飞宇. 低强度华法林与低强度阿司匹林用于预防老年非瓣膜性心房颤动(房颤)并发脑栓塞的效果[J]. 黑龙江中医药, 2020, 49(4): 94-95. https://www.cnki.com.cn/Article/CJFDTOTAL-HLZY202004072.htm
|
| [4] |
孙萍, 孙洁, 郭志浩, 等. 经食管超声心动图对非瓣膜性心房颤动左心房血栓的诊断价值[J]. 心脑血管病防治, 2020, 20(2): 160-162. doi: 10.3969/j.issn.1009-816x.2020.02.010
|
| [5] |
XIA H M, GAN L, JIANG Y, et al. Use of transesophageal echocardiography and contrast echocardiography in the evaluation of cardiac masses[J]. Int J Cardiol, 2017, 236: 466-472. doi: 10.1016/j.ijcard.2017.01.073
|
| [6] |
SCHNEIDER B, ZIENKIEWICZ T, JANSEN V, et al. Diagnosis of patent foramen ovale by transesophageal echocardiography and correlation with autopsy findings[J]. Am J Cardiol, 1996, 77(14): 1202-1209. doi: 10.1016/S0002-9149(96)00163-4
|
| [7] |
孟庆国, 尹立雪, 曾杰, 等. 三维经食管超声心动图与其他影像技术指导左心耳封堵术的对比[J]. 中国医学影像技术, 2017, 33(3): 365-369. https://www.cnki.com.cn/Article/CJFDTOTAL-ZYXX201703017.htm
|
| [8] |
AHMAD A, MCELWEE S K, JIANG A Z, et al. Usefulness of two- and three-dimensional transesophageal echocardiography in the assessment of proximal left coronary system compression by a paraprosthetic aortic valve abscess[J]. Echocardiography, 2017, 34(2): 264-266. doi: 10.1111/echo.13476
|
| [9] |
尚帅, 李耀东, 周贤惠, 等. 左心耳自发显影的临床评价[J]. 心血管病学进展, 2021, 42(9): 792-795. https://www.cnki.com.cn/Article/CJFDTOTAL-XXGB202109007.htm
|
| [10] |
朱玲玲, 戴慧勇, 张天飞, 等. 经胸超声心动图结合经胸右心声学造影对卵圆孔未闭右向左分流的诊断价值[J]. 川北医学院学报, 2022, 37(7): 871-874.
|
| [11] |
赵志宏, 张邢炜. 中国心房颤动流行病学调查20年[J]. 中国心脏起搏与心电生理杂志, 2023, 37(3): 232-235. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXZ202303008.htm
|
| [12] |
孙静娴, 李静, 丁林锋, 等. 左心房内径与非瓣膜性房颤患者缺血性脑卒中风险的相关性分析[J]. 实用临床医药杂志, 2021, 25(11): 35-38. doi: 10.7619/jcmp.20211560
|
| [13] |
马春鸽, 王现青, 姚焰. 左心耳形态结构和功能与心房颤动相关性卒中的研究和展望[J]. 中国心血管病研究, 2021, 19(3): 260-264. https://www.cnki.com.cn/Article/CJFDTOTAL-XXGZ202103014.htm
|
| [14] |
刘家骥, 王倩, 李有权, 等. 房颤患者CCTA左心耳充盈缺损中血栓征象分析[J]. 临床放射学杂志, 2023, 42(11): 1741-1746. https://www.cnki.com.cn/Article/CJFDTOTAL-LCFS202311008.htm
|
| [15] |
CHRISTIANSEN M E, VAN WOERKOM R C, DEMAERSCHALK B M, et al. What is clinical efficacy of transesophageal echocardiography in patients with cryptogenic stroke: a critically appraised topic[J]. Neurologist, 2018, 23(1): 30-33.
|
| [16] |
王雨萌, 何文, 杜丽娟, 等. 二维斑点追踪技术评估卵圆孔未闭封堵术后左心房功能[J]. 首都医科大学学报, 2019, 40(6): 842-845. https://www.cnki.com.cn/Article/CJFDTOTAL-SDYD201906008.htm
|
| [17] |
郭楚娴, 杨龙, 张敏, 等. 左心耳血流速度对非瓣膜性心房颤动患者左心耳血栓形成的预测价值评估[J]. 中国循环杂志, 2022, 37(8): 831-835. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGXH202208009.htm
|
| [18] |
陈静婉, 杨道玲. 经食道超声心动图评价房颤患者左心耳容积和功能改变的临床意义[J]. 中华全科医学, 2020, 18(3): 408-411. https://www.cnki.com.cn/Article/CJFDTOTAL-SYQY202003019.htm
|
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