On February 20, 2024, under the precise command of Chief Physician Lu Zujian, the director of the department, the cardiovascular team performed an unprecedented operation in the catheter intervention room - one-stop radiofrequency ablation of paroxysmal atrial fibrillation and left atrial appendage closure under the guidance of ICE. This not only marks a major breakthrough in the field of intervention, but also opens a new chapter in the life of the patient, Uncle He.
Uncle Ho is 60 years old and a hardworking worker. In the past year, he often felt palpitations and panic, but it was always good and bad, and he thought it was due to fatigue and did not pay much attention to it. Until half a year ago, he suddenly had two consecutive acute abdominal pains and was diagnosed with "splenic embolism (cardiogenic emboli**) In the face of the doctor's advice, Uncle He hesitated, because he was worried that the operation would affect his work, and the symptoms were good and bad.
However, the lucky scales did not choose to favor Uncle He's side. He gradually became dizzy, unsteady on his feet, and began to slurred his speech. After a fainting, he was diagnosed with a stroke, and after emergency rescue and **, although his life was saved, he was left with the sequelae of not speaking fluently and weakness in his lower limbs.
The root of all this is the seemingly inconspicuous atrial fibrillation. In atrial fibrillation, a blood clot that forms in the atria may break off and block the blood vessels in the brain as the blood flows, causing damage to the cranial nerves. What's more terrifying is that these thrombosis may also block limb arteries, renal arteries, mesenteric arteries, etc., leading to limb ischemia, renal infarction, intestinal necrosis and other serious consequences.
Faced with such a risk, Uncle He and his family decided to seek a more thorough **. After detailed examination and evaluation, Uncle He has the indication of "atrial fibrillation radiofrequency ablation surgery + left atrial appendage occlusion surgery" one-stop**. This surgery can solve the problem of atrial fibrillation rhythm control and stroke prevention at one time, which is a real "killing two birds with one stone".
On February 20, 2024, the surgery went ahead as scheduled. Under the leadership of Chief Physician Lu Zujian, Director of the Department of Cardiovascular Medicine of the Fourth People's Hospital of Changde City, the interventional team of the Department of Cardiovascular Medicine successfully performed the operation with superb technology and tacit cooperation. After the operation, Uncle He did not have any complications and was discharged from the hospital on the third day.
Intraoperative ** fibrillation radiofrequency ablation.
Intraoperative precise positioning, select the appropriate left atrial appendage occluder placement position.
Postoperative intravascular ultrasound ICE repeatedly verifies that the occluder is in place.
The cardiovascular team celebrates the success of the surgery.
Today's Uncle He has returned to normal work and life. He no longer has to worry about sudden heart palpitations and dizziness, let alone more serious illnesses caused by atrial fibrillation. All these changes are due to the correct and courageous choice and the superb skills of the cardiovascular medicine team.
Uncle He and his family sent a pennant of thanks.
This operation is not only a comprehensive test of the technical level of the cardiovascular team, but also proves the leading position of the department in the field of intervention, and also shows that the medical staff attach great importance to the safety of patients. At the same time, it also provides a new choice for more patients with atrial fibrillation, a one-stop solution to the risk of atrial fibrillation and stroke, and allows patients to regain their health and hope.
Popular science knowledge.
1. What is atrial fibrillation?
Atrial fibrillation, also known as atrial fibrillation, is one of the most common types of arrhythmia. The human heart has two atria and two ventricles, and when the normal heartbeat is in order, the atrial contraction - ventricular contraction - atria ventricles relax together to complete a heartbeat, and the heartbeat that people feel is usually the contraction of the ventricles.
However, in atrial fibrillation, the atria vibrate irregularly and cannot contract and relax normally, some atrial fibrillation can drive the ventricles to complete a contraction and relaxation, and some atrial fibrillation cannot, resulting in a very irregular heartbeat.
2. What are the causes of atrial fibrillation?
Abnormal ventricular rate in atrial fibrillation is an important cause of symptoms. Palpitations, fatigue, chest tightness, and decreased exercise tolerance are common clinical symptoms of atrial fibrillation. Ventricular arrest caused by atrial fibrillation can lead to cerebral insufficiency, resulting in amaurosis and syncope. Some patients may be asymptomatic.
3. What are the dangers of atrial fibrillation?
Atrial fibrillation blocks the cerebral blood vessels through blood clots, directly damages the cranial nerves, and also reduces the cardiac blood flow and cerebral blood flow, so that the cranial nerves are in a state of ischemia and hypoxia for a long time, thereby increasing the risk of dementia by 2 times.
The thrombus in atrial fibrillation not only blocks the cerebral blood vessels, but also may block the peripheral arteries such as limb arteries, renal arteries, and mesenteric arteries, resulting in serious consequences such as limb ischemia, renal infarction, and intestinal necrosis.
Experts remind everyone that symptoms such as palpitations and chest discomfort in patients with paroxysmal atrial fibrillation may be atypical and can terminate spontaneously, which is easy to be ignored and missed. About 1 3 patients with atrial fibrillation are completely asymptomatic, and the risk of stroke in asymptomatic patients is no different from that of symptomatic patients.
4. How to prevent the occurrence of atrial fibrillation?
Usually develop a regular daily routine, don't stay up late, and ensure adequate sleep. Exercise properly, eat lightly, and control high-fat, high-calorie foods.
It is necessary to maintain a good attitude, avoid violent mood swings, learn to control your emotions, and a calm mind can reduce excessive heartbeat fluctuations.
Actively control risk factors and related diseases. Active** Oxygen therapy for patients with hypertension, diabetes and coronary heart disease, smoking cessation, alcohol abstinence, weight loss, sleep apnea syndrome.
5. Why does atrial fibrillation cause stroke?
Patients with atrial fibrillation are prone to stroke because the atria cannot contract regularly, and the blood is easy to stagnate in the atria and form a blood clot, which is often relatively large, and with the heart's beat, the blood clot will run out of the left atrial appendage.
1.Running to the arteries of the limbs causes embolism, and in severe cases, amputation is required.
2.Running into the brain can lead to stroke, ranging from hemiplegia and disability to dementia, vegetative and death.
Among them, 90% of the thrombus in patients with non-valvular atrial fibrillation comes from the left atrial appendage, and intracardiac ultrasound (ICE) is a kind of echocardiographic diagnostic technology that combines ultrasound technology and intracardiac catheter technology, which can be called the "third eye" in the heart chamber.
In recent years, intraventricular ultrasound technology has been widely used in the field of cardiovascular intervention, due to its small trauma, clear imaging, flexible operation, and can observe the heart structure in various cavities, and has been widely used in cardiac electrophysiology, structural heart disease and other fields. Intraventricular ultrasonography technology is more comprehensive and real-time monitoring, which brings good news to more patients with complex persistent atrial fibrillation.
Hunan Medical Chat Special Author: Song Zhao, Ward 1, Department of Cardiovascular Medicine, Fourth People's Hospital of Changde City, follow @Hunan Medical Chat to get more health science information!
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