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肺高血压,一个回声评估:它是动脉还是静脉?
Vivek Sullere1, Shivang Sullere2, Idris Ahmed Khan2
1Department of Non-Invasive Cardiology, Bombay Hospital, Indore, Madhya Pradesh, India.
概括
肺高血压 (PH) 可以使用心声回声学来区分. 肺动脉高血压 (PAH) 和肺静脉高血压 (PVH) 可以通过测量肺毛细血管压 (PCWP) 通过E/e'比来区分.
科学领域:
- 心脏病学 心脏病学
- 肺高血压研究 肺高血压研究
- 心声回声图 (Echocardiography) 是一种心声回声图.
背景情况:
- 肺高血压 (PH) 涉及肺血管重塑和右心力衰竭,影响生存.
- 肺高血压表现为没有左心室 (LV) 功能障碍的肺动脉高血压 (PAH) 或带有LV功能障碍的肺静脉高血压 (PVH).
- 心力衰竭患者的PH表明预后不佳,可能导致心室相互依赖导致LV功能障碍.
研究的目的:
- 使用心声回声学来区分PAH和PVH.
- 建立一种非侵入性方法来区分PH亚型.
主要方法:
- 从1075名PH受试者和707名健康对照者的心声学数据的回顾性分析.
- 将PH受试者分为严重程度 (轻度,中度,严重) 和E/e'衍生的肺毛细管压力 (PCWP).
- 对心声回声测量和劳力耐受性 (Mets) 的分析.
主要成果:
- 可以区分肺动脉高血压 (PAH) 和肺静脉高血压 (PVH).
- 肺毛细血管压 (PCWP) 值>15 mmHg,使用Nagueh的公式从E/e'获得,有效地区分PAH和PVH.
- 与PH严重程度和类型相关的心声学参数.
结论:
- 心声学,特别是E/e'衍生的PCWP,提供了一种可靠的方法来区分PAH和PVH.
- 报告来自E/e'的PCWP与肺动脉抽缩压一起推用于准确的PH亚型.
- 这种方法有助于更好的患者管理和PH的预后评估.
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