磁力共振成像 (MRI) 评估左心房和心室逆向重塑在扩张性心肌病中进行限制性部结膜整形后的情况
Jos J M Westenberg1, Rob J van der Geest, Hildo J Lamb
1Division of Image Processing, Department of Radiology, Leiden University Medical Center, Albinusdreef 2, 2333 ZA Leiden, The Netherlands. j.j.m.westenberg@lumc.nl
Circulation
|September 15, 2005
概括
在扩大心肌病患者中,限制性结婚整形术有效地减少了左心房和心室体积. 这次心脏手术在一年内显示出显著的反向重塑和心脏功能改善,MRI证实了这一点.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 医疗成像医学成像
背景情况:
- 有限的数据存在于左心房 (LA) 和左心室 (LV) 逆重塑在扩张性心肌病 (DCM) 中的限制性结婚术后.
- 心声谱是典型的随访方法,但它在评估重塑方面的局限性是公认的.
研究的目的:
- 评估限制性结婚整形术对LA和LV逆转重塑在DCM患者使用连续MRI的影响.
- 在这个患者群体中评估限制性结婚整形术的临床结果和安全性.
主要方法:
- 20名DCM患者患有严重的额头骨吐,接受了限制性额头骨置术.
- 手术前,手术后2个月,手术后1年进行了连续的心脏MRI扫描.
- 分析了LA和LV的主要体积和功能参数.
主要成果:
- 在一年内观察到LA末缩和末缩体积的显著减少 (P < 0.01).
- LV 末端透析体积显著下降 (P < 0.01),而 LV 射出分数显著增加 (P < 0.01).
- LV 质量也显示显著下降 (P = 0.02),表明反向重塑.
结论:
- 在DCM患者的限制性结婚整形术导致显著的LA和LV反向重塑.
- 该程序与优秀的临床结果和有利的长期心脏结构变化有关,如MRI所显示的那样.
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