神经病学与神经康复学杂志2026，Vol.22Issue(1)：21-27,7.DOI:10.12022/jnnr.2025-0113
神经影像学和超声心动图应用于心房颤动相关脑卒中复发风险评估的研究进展
Advances in neuroimaging and echocardiography for evaluation of stroke recurrence risk related to atrial fibrillation
季程成 1李安格 1管琼峰2
作者信息
- 1. 绍兴文理学院医学院,浙江 绍兴 312000||宁波市第二医院神经内科,浙江 宁波 315010
- 2. 宁波市第二医院神经内科,浙江 宁波 315010
- 折叠
摘要
Abstract
Atrial fibrillation(AF)is a critical risk factor for stroke.Despite secondary prevention with anticoagulant therapy,the annualized risk of stroke recurrence in patients with AF remains substantial,ranging from 3.2％to 6.5％.The traditional CHA2DS2-VASc scoring system,which is based on clinical factors for risk stratification,fails to adequately reflect dynamic cardiac structural remodeling or subclinical cerebrovascular injury.This paper reviews recent advances in neuroimaging(covert brain infarction,cerebral microbleeds and white matter hyperintensities)and echocardiography(left atrial structure,left atrial strain,left atrial appendage morphology,left atrial appendage spontaneous echo contrast and left atrial appendage emptying velocity)for risk assessment of stroke recurrence in patients with atrial fibrillation,which aims to optimize the traditional scoring system for more precise risk stratification.关键词
房颤相关脑卒中/脑卒中复发/神经影像学/超声心动图Key words
Atrial fibrillation-related stroke/Stroke recurrence/Neuroimaging/Echocardiography引用本文复制引用
季程成,李安格,管琼峰..神经影像学和超声心动图应用于心房颤动相关脑卒中复发风险评估的研究进展[J].神经病学与神经康复学杂志,2026,22(1):21-27,7.
