左心耳封堵术对非瓣膜性心房颤动患者左心功能影响的研究进展

Effects of Left Atrial Appendage Closure on Left Cardiac Function in Patients with Nonvalvular Atrial Fibrillation

秦可隽 ¹姜述斌²

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作者信息

1. 新疆医科大学第四临床医学院,新疆乌鲁木齐 830000
2. 新疆医科大学第四附属医院心内科,新疆乌鲁木齐 830000
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摘要

近年来左心耳封堵术(LAAC)作为一项预防卒中发生的有效措施逐渐被大众接受.流行病学调查显示,近5年来在中国部分地区,LAAC的比例已从0.16％上升至1.23％.作为一项发展时间较短的术式,LAAC预防卒中发生的有效性已得到临床检验,但术后是否存在对患者左心功能的影响仍存在争论.现归纳总结LAAC对左心功能影响的研究,并对LAAC是否会通过对左心功能的影响增加一站式手术的术后心房颤动复发率而进行展望.

Abstract

In recent years,left atrial appendage closure(LAAC)has gradually been accepted by the public as an effective measure to prevent stroke.Epidemiological survey shows that the proportion of LAAC in some areas in China has increased from 0.16％to 1.23％in recent 5 years.As an operation with a relatively short development time,its effectiveness in preventing stroke has been clinically tested,but whether there is any effect on the left cardiac function of patients after surgery is still controversial.This paper summarizes the research on the impact of LAAC on left cardiac function,and looks forward to whether LAAC will increase the postoperative atrial fibrillation recurrence rate of one-stop surgery by affecting left heart function.

关键词

左心耳封堵术/非瓣膜性心房颤动/心脏功能/复发/心肌纤维化

Key words

Left atrial appendage closure/Nonvalvular atrial fibrillation/Cardiac function/Recurrence/Myocardial fibrosis

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基金项目

新疆维吾尔自治区区域协同创新专项()

上海市合作组织科技伙伴计划及国际科技合作计划(2023E01021)

出版年

2024

心血管病学进展

成都市心血管病研究所,成都市第三人民医院

心血管病学进展

CSTPCD

影响因子：0.932

ISSN：1004-3934

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