在 dobutamine 应激回声心电图期间的动态心室内阻塞. 一个新的观察
P A Pellikka1, J K Oh, K R Bailey
1Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, MN 55905.
Circulation
|November 1, 1992
概括
在 dobutamine 应力回声心电图期间的低血压可能是由动态左心室阻塞引起的,这是一个最近观察到的现象. 这种通过多普勒检测发现的阻塞发生在21%的患者身上,并且与较低的血压变化有关.
科学领域:
- 心脏病学 心脏病学
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
- 血液动力学 血液动力学
背景情况:
- 在 dobutamine 应激回声心电图 (DSE) 期间的低血压并未得到充分理解.
- 在DSE期间观察到的左心室高动态功能表明潜在的腔内阻塞.
- 这项研究调查了内阻塞作为DSE期间低血压的原因.
研究的目的:
- 为了确定DSE期间动态左心室阻塞的患病率.
- 调查DSE期间左心室阻塞和低血压之间的关联.
主要方法:
- 57名接受DSE治疗的患者使用多普勒心声扫描进行了评估.
- 左心室腔的速度在休息状态和顶峰 dobutamine 输注时被测量.
- 内梯度的发展,定义为晚期峰值多普勒特征,基本速度超过≥1m/sec.
主要成果:
- 动态左心室阻塞发生在12名患者 (21%).
- 患有阻塞的患者 (第一组) 与没有阻塞的患者 (第二组) 相比,平均静脉压下降幅度明显较低.
- 这种差异甚至在排除患有缺血反应的患者后仍然存在.
结论:
- 动态左心室阻塞是DSE期间经常发现的新发现.
- 这种阻塞,而不是缺血,可能是DSE期间低血压的原因.
相关概念视频
Imaging Studies for Cardiovascular System I:Echocardiography
Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion, evaluates...
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion, evaluates...
Imaging Studies for Cardiovascular System II:Types of Echocardiography
Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for diagnosing...
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for diagnosing...


