Research Progress on the Impact of Left Atrial Reverse Remodeling on Heart Failure Patients With Recovered Ejection Fraction
10.3969/j.issn.1000-3614.2024.12.014
- VernacularTitle:左心房逆重构对射血分数恢复的心力衰竭影响的研究进展
- Author:
Junhan GUO
1
;
Lu LIU
1
;
Yedan GUO
1
;
Fengru LIU
1
;
Weilong ZHAO
1
;
Shulong ZHANG
1
Author Information
1. 大连大学附属中山医院 心内科,大连 116001
- Publication Type:Journal Article
- Keywords:
left atrial reverse remodeling;
heart failure with recovered ejection fraction;
left atrial assessment
- From:
Chinese Circulation Journal
2024;39(12):1239-1243
- CountryChina
- Language:Chinese
-
Abstract:
Left atrial reverse remodeling refers to the reversal of left atrial structure,function,and electrical remodeling,and the restoration of left atrial morphology,functional parameters,and myocardial tissue,which mostly indicates that the disease is on the way of improvement.Heart failure with recovered ejection fraction (HFrecEF) has become an entity of widespread concern,and the progression of the disease is related to the nature and severity of myocardial injury,rather than being limited to the trajectory of left ventricular ejection fraction (LVEF) changes.In recent years,it has been found that the left atrial reverse remodeling is closely related to the prognosis,risk stratification,and drug selection of patients with HFrecEF.This article reviews the definition,pathophysiology,evaluation methods of left atrial reverse remodeling in patients with heart failure,its application in patients with HFrecEF,and the controversies and related considerations in the diagnosis of left atrial reverse remodeling.