在增强的外部反推力过程中,左心室的缩卸载和冠心内压力和多普勒流量的增加
Andrew D Michaels1, Michel Accad, Thomas A Ports
1Division of Cardiology, Department of Medicine, University of California at San Francisco Medical Center, San Francisco, Calif 94143-0124, USA. andrewm@itsa.ucsf.edu
Circulation
|September 5, 2002
概括
增强的外部反推力 (EECP) 显著提高了腹压和平均压力,同时降低了大动脉和冠状动脉的缩压. 这种非侵入性疗法增加了冠状动脉的流量,可能作为机械辅助装置.
科学领域:
- 心脏病学 心脏病学
- 心血管生理学心血管生理学
- 医疗器械 医疗器械
背景情况:
- 增强外部反推力 (EECP) 是一种非侵入性气动疗法,已知有利于慢性心痛患者.
- 对于EECP对血液动力学的直接生理影响尚未得到广泛研究.
- 这项研究调查了EECP对冠心内和左心室血液动力学的影响.
研究的目的:
- 直接评估EECP在冠状动脉中的血液动力学影响.
- 在EECP期间量化冠心压力和流速的变化.
- 评估EECP作为机械辅助装置的潜力.
主要方法:
- 研究了接受诊断性心脏导管治疗的10名患者.
- 用专门的导线测量了冠心内压力和多普勒流速.
- 在EECP应用期间,还监测了中央大动脉压力.
主要成果:
- EECP显著增加了腹压 (+93%) 和平均 (+16%) 冠心压.
- 在EECP期间,静脉静脉压下降了15%.
- 冠状动脉流量,用多普勒和TIMI数测量,分别增加了109%和28%.
结论:
- EECP有效地增加了透析压和平均压力,同时降低了主动脉和冠状动脉的静脉压.
- 在EECP期间,冠状动脉流量显著增强.
- 系统性卸载和改善的 perfusion 压力的组合表明,EECP 可以作为机械辅助装置发挥作用.
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