超声心动图预测老年房颤导管消融术后复发风险的研究进展  

Predictive value of echocardiography for the risk of recurrence of atrial fibrillation after catheter ablation in elderly patients

作　　者：何玉立 刘倩慧 姚子俊 徐云凡 吴军 HE Yuli;LIU Qianhui;YAO Zijun;XU Yunfan;WU Jun(Department of Geriatric Cardiology,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China)

机构地区：[1]南京医科大学第一附属医院老年心血管科,江苏省南京市210029

出　　处：《实用老年医学》2025年第2期207-211,共5页Practical Geriatrics

基　　金：江苏省高等学校自然科学重大项目(21KJB320003);江苏省卫健委科研项目(BJ20014);江苏省老年健康科研重点项目(LKZ2023001);江苏省人民医院临床能力提升工程面上项目(JSPH-MB-2022-13)。

摘　　要：心房颤动(房颤)是老年人最常见的心律失常之一。目前,导管消融手术是治疗房颤转复最有效的手段之一,但术后复发率高,因此寻找出有力的预测因子,对临床病情的评估、疗效的观察和预后的判断具有重要意义。本文基于老年房颤相关的左心房重塑机制,重点论述超声心动图的重要参数,如左心房内径(left atrial diameter,LAD)、左心房容积指数(left atrial volume index,LAVI)、左室舒张功能参数(E/e′)等对房颤消融术后复发的预测作用,旨在帮助筛选从该手术中能够获益的病人,从而指导临床实践。Atrial fibrillation(AF)is one of the most common arrhythmias in the elderly.Currently,catheter ablation is one of the most effective methods for the treatment of atrial fibrillation,but the recurrence rate is high.Therefore,it is of great significance to find powerful predictors for the evaluation of clinical condition,curative effect and prognosis.Based on the mechanism of left atrial remodeling related to AF in the elderly,this article focuses on the predictive effects of important parameters of echocardiography,such as left atrial diameter(LAD),left atrial volume index(LAVI),left ventricular diastolic function parameter(E/e′),etc.for the recurrence after AF ablation,aiming to help screen patients who can benefit from catheter ablation and guide clinical practice.

关 键 词：心房颤动 导管消融术 超声心动图 复发 预测 

分 类 号：R541.7[医药卫生—心血管疾病]