左心室填充压力的多普勒估计在患有中枢病的患者中
Abhinav Diwan1, Abhvinav Diwan, Marti McCulloch
1Section of Cardiology, University of Cincinnati, Cincinnati, Ohio, USA.
Circulation
|June 16, 2005
概括
异体度放松时间 (IVRT) 与早期透气度流入 (E) 和环状早期透气度速度 (Ea) (T(E-Ea)) 之间的时间间隔的比率准确地估计了心心病患者的肺毛细血管压 (PCWP). 这种方法还跟踪了门手术后的PCWP变化.
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.
- 心脏生理学 心脏生理学
背景情况:
- 传统的多普勒回声心电图在预测关病 (MVD) 的左心房压力 (LAP) 中存在局限性.
- 诸如膜面积,左心室 (LV) 放松和度等因素会影响传统的测量.
- 时间间隔T ((E-Ea) 是独立于这些混变量.
研究的目的:
- 评估T(E-Ea) 间隔在患有MVD的患者中估计左心房压力 (LAP) 的有用性.
- 评估T(E-Ea) 是否能够克服传统多普勒测量的局限性.
主要方法:
- 在51名MVD患者中同时进行了二维多普勒,组织多普勒成像 (TDI) 心声和右心导管治疗.
- 患者包括那些患有额头管回 (MR) 和额头管狭窄症 (MS) 的患者.
- 异体度放松时间 (IVRT) 与T (E-Ea) 的比率与平均肺毛细血管压 (PCWP) 相相关.
主要成果:
- 在MR (r=-0.92) 和MS (r=-0.88) 患者中,IVRT与T(E-Ea的比率与PCWP有很强的相关性.
- 这一比率,以及IVRT/tau,与其他多普勒测量相比,与PCWP显示出最好的相关性.
- 这些比率准确地跟踪了PCWP的变化,包括在重复研究和心房的患者中重复研究中的PCWP变化,包括那些高于或等于5mm Hg的变化.
结论:
- IVRT与T ((E-Ea) 的比率提供了一种可靠的方法来估计MVD患者的平均PCWP.
- 这种心声回声比可以有效地监测门手术后的PCWP变化.
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