在肺高血压中,心室几何学,应变和旋转力学
Sarinya Puwanant1, Margaret Park, Zoran B Popović
1Department of Cardiovascular Medicine, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio, USA.
Circulation
|January 6, 2010
概括
右心室 (RV) 压力过载损害了RV功能,改变了左心室 (LV) 几何形状,导致LV扭曲和细分应变减少. 这些变化凸显了RV功能障碍对整体心脏机制的重大影响.
科学领域:
- 心脏病学 心脏病学
- 心血管生理学心血管生理学
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 右心室 (RV) 压力过载是一个重要的临床问题.
- 它对左心室 (LV) 几何和力学的影响尚未完全理解.
- 研究RV压力过载和LV功能之间的关系对于了解心血管疾病进展至关重要.
研究的目的:
- 测试RV压力过载会影响RV功能的假设.
- 为了确定RV压力过载是否会影响LV的几何和力学.
- 评估对LV扭曲力学和细分功能的不利影响.
主要方法:
- 44名肺高血压患者和44名匹配的健康对照患者的前性心声成像.
- 排除具有内在 LV 疾病的患者.
- 测量RV和LV的纵向应变 (LS) 和周长应变 (CS),以及LV扭曲.
主要成果:
- 与对照组相比,肺高血压患者的RV LS和腹腔隔膜 (IVS) LS减少.
- LV侧壁LS被保留,但IVS和LV侧壁CS被减少.
- 肺动脉扭转在肺高血压患者中显著下降,与肺动脉静脉压和肺动脉偏心指数相反相关.
结论:
- 慢性RV压力过载直接损害RV纵向缩变形.
- RV压力过载会影响IVS和LV几何,对LV扭转和细分应变产生不利影响.
- 腹腔间隔膜比LV自由壁更受影响.
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