负责功能性三管吐的机制的体外表征
Erin M Spinner1, Patrick Shannon, Dana Buice
1Wallace H. Coulter Department of Biomedical Engineering, Georgia Institute of Technology/Emory University, Atlanta, GA, USA.
Circulation
|August 4, 2011
概括
功能性三腹反 (TR) 可能是由于环状扩张或乳头肌肉 (PM) 位移造成的. 这两种机制都导致TR,修复策略必须考虑严重的PM位移.
科学领域:
- 心血管研究研究心血管研究
- 心脏机械学 心脏机械学
- 膜心脏疾病 膜心脏疾病
背景情况:
- 功能性三腹吐 (TR) 是致病率的一个重要原因.
- 目前的TR维修重点是由于常见的环状扩张而进行环状改造.
- 在TR中乳头肌肉 (PM) 位移的作用不如在腹吐中所理解的.
研究的目的:
- 为了研究由环状扩张引起的TR的机制.
- 为了阐明乳头肌 (PM) 位移对TR的贡献.
- 为了比较单独和联合环状扩张和PM位移对三管功能的影响.
主要方法:
- 使用一个实验室右心脏模拟器与16个猪三管.
- 在孤立环状扩张下 (高达100%) 量化门动力学.
- 单独和联合的乳头肌 (PM) 位移和环状扩张的评估效应.
主要成果:
- 三管的无能发生在40%的环状扩张时,导致显著的TR (7.9±3.4毫升).
- 孤立的PM位移,影响前部,后部/横部或所有PM,显著增加TR.
- 观察到叶片的恶性吸收,前叶片显示残余长度的最大变化,隔膜叶片显示随着PM位移而减少.
结论:
- 单独环状扩张可以导致功能性三管吐 (TR).
- 乳头肌肉 (PM) 位移是TR的独立原因.
- 三管的修复策略需要适应严重的颗粒物位移病例.
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