通过多式心声回声学评估预先怀孕子亚型的左心室结构和功能
Lan Jiang1,2, Weixiang Liang2, Renjie Xie3
1Department of Medical Imaging Center, The First Affiliated Hospital of Jinan University, Guangzhou, People's Republic of China.
The journal of obstetrics and gynaecology research
|June 1, 2023
概括
早期发病的严重孕前 (EO-SPE) 会导致左心室损伤和缩功能下降. 晚期发病的严重孕前 (LO-SPE) 会导致高和腹功能障碍. 多式心声回声检测到心脏变化在孕前.
科学领域:
- 心脏病学 心脏病学
- 产科 产科 产科 产科 产科
- 医疗成像医学成像
背景情况:
- 孕前 (PE) 是一种严重的妊娠并发症.
- 左心室 (LV) 功能障碍是PE的已知并发症.
- 皮质前列腺的亚型可能会有明显的心脏影响.
研究的目的:
- 通过使用多式心声回声学来调查预先怀孕症患者的LV结构和功能异常.
- 为了区分心脏对子宫前症亚型的影响.
主要方法:
- 103名参与者 (64名PE患者,39名对照人) 接受了2D,多普勒和斑点跟踪心声扫描.
- 患者被分为严重的 (SPE) 和不严重的 (NSPE),早期发病的 (EO) 和晚期发病的 (LO).
- 统计分析 (ANOVA) 对不同组的心声回声学参数进行了比较.
主要成果:
- EO-SPE患者表现出减少的LV射出分数和缩应变,并增加了额头吐.
- 与其他组相比,LO-SPE患者的 LV 质量增加和腹筋填充受损.
- 特定的回声心脏学参数,如MAPSE和环形速度,在PE亚型之间存在显著差异.
结论:
- EO-SPE与 LV 损伤和缩功能障碍有关.
- LO-SPE的特点是 LV 缩和腹功能障碍.
- 多式心声回声学有效地检测出预先怀孕的早期心肌损伤.
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