超声评估不同类型房颤心脏重构和心外膜脂肪差异与心衰相关性分析
Ultrasound assessment of cardiac remodeling and epicardial adipose tissue differences in different types of atrial fibril-lation in relation to heart failure
邱雨 1高振森 2郭利平 2李丹丹 2张文文 2罗袖云 1缪伟2
作者信息
- 1. 山东第二医科大学医学影像学院 山东 潍坊 261053
- 2. 山东省潍坊市人民医院超声医学科 山东 潍坊 261041
- 折叠
摘要
目的 应用超声评估不同类型房颤(AF)患者的心脏重构及心外膜脂肪(EAT)参数变化情况,探讨其与心衰发生的相关性和预测价值.方法 选取接受心脏超声检查的 108 例患者资料,分为窦性心律正常(对照组)34 例、阵发性AF组 39 例与永久性AF组 35 例,分析临床资料与实验室资料,包括体重指数(BMI)、体表面积(BSA)、N末端脑钠肽(NT-ProBNP)等,采用超声心动图测量心脏相关指标,包括心外膜脂肪量(EAT)、左心房面积(LAA)、左心房容积指数(LAVI)、右心房容积(RAV)、双心房面积比(LAA/RAA)、左心房球形度(LASI)等.结果 阵发性AF组与永久性AF组NT-ProBNP、LAA、LAVI 均高于对照组,差异有统计学意义(P 均<0.05),永久性 AF 组 RAV、LASI 高于阵发性 AF组,差异有统计学意义(P 均<0.05),阵发性AF组EAT、LAA/RAA高于永久性AF组,差异有统计学意义(P 均<0.05).结论 不同类型的AF患者心脏重构有差异,阵发性AF左心房可以扩大或正常、EAT增多.永久性AF患者左、右心房可以同时扩大,EAT减少.不同类型AF心脏重构与心衰程度相关.
Abstract
Objective The changes of cardiac remodeling and epicardial adipose tissue(EAT)in patients with different types of atrial fibrillation(AF)were evaluated by ultrasound,and the correlation and predictive value of these parameters with the oc-currence of heart failure were discussed.Methods A total of 108 patients who received cardiac ultrasound in our hospital were divided into normal sinus rhythm control group(34 cases),paroxysmal atrial fibrillation(PaAF)group(39 cases),and perma-nent atrial fibrillation(PeAF)group(35 cases).Clinical and laboratory data were collected.Body mass index(BMI),body sur-face area(BSA),N-terminal brain natriuretic peptide(NT-ProBNP)and other heart-related indicators were measured by ultra-sound in terms of epicardial adipose tissue(EAT),left atrial area(LAA),left atrial volume index(LAVI),right atrial volume(RAV),double atrial area ratio(LAA/RAA),left atrial sphericity index(LASI),etc.Results NT-ProBNP,LAA and LAVI in paroxysmal AF group and permanent AF group were higher than those in normal control group(P＜0.05).RAV and LASI in permanent AF group were higher than those in paroxysmal AF group(P<0.05).EAT,LAA/RAA in paroxysmal AF group were higher than those in permanent AF group(P<0.05).Conclusion There are differences in cardiac remodeling in patients with different types of atrial fibrillation.The left atrium(LA)may be enlarged or normal with EAT increase in PaAF.PeAF can enlarge the left atrium and right atrium(RA)simultaneously and reduce EAT.Cardiac remodeling in different types of atrial fibrillation is correlated with the degree of heart failure.
关键词
房颤/超声检查/分型/心脏重构/心外膜脂肪Key words
Atrial fibrillation/Ultrasonography/Classification/Cardiac remodeling/Epicardial adipose tissue引用本文复制引用
出版年
2024
NETL
NSTL
万方数据