在多布胺应力心声学期间视觉评估和纵向应力之间的比较
Wella Karolina1, Amiliana Mardiani Soesanto2, B R M Ario Soeryo Kuncoro2
1Department of Cardiology and Vascular Medicine, Faculty of Medicine, Brawijaya University, Dr. Saiful Anwar Hospital, Malang, Indonesia.
在多布他胺应力回声心脏成像 (DSE) 期间对心脏壁运动的视觉评估与纵向应力测量有很强的相关性. 这一发现证实了视觉 DSE 解释与客观菌株分析的相关性,从而提高了诊断准确度.
科学领域:
- 心脏病学 心脏病学
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
- 心脏成像 - - 心脏成像
背景情况:
- 在多布他胺应力心声学 (DSE) 中,视觉评估和纵向应力之间的相关性尚未得到充分证实.
- 本研究研究了视觉壁运动评分和DSE期间的定量纵向应变之间的关系.
研究的目的:
- 为了比较左心室 (LV) 壁运动段的视觉评估与纵向应变测量.
- 评估视觉评估的收缩性 (正常动力学,低动力学,近代动力学) 与基线和峰值 DSE. 的应变值之间的关联.
- 为了确定视觉评估对抗菌株变化的诊断性能.
主要方法:
- 112名患者接受了DSE用于诊断或可行性研究.
- 区域LV收缩性被视觉评估,并通过横胸心声学衍生的纵向应变.
- 在带有和没有诱导受损或改善收缩性的段落中比较应变值.
主要成果:
- 基线LV细分菌株在视觉等级上有显著差异:正常动力 (-16.33 ± 6.26%),低动力 (-13.05 ± 6.44%) 和异性动力 (-8.46 ± 5.69%).
- 在DSE峰值期间,菌株值保持着明显的区别:正常动力 (-15.37 ± 6.89%),低动力 (-11.37 ± 5.11%) 和类似动力 (-7.37 ± 3.92%).
- 视力受损的收缩率段显示明显较低的应变;那些有改善的收缩率显示较高的应变. 检测 >2% 纵向菌株减少的灵敏度为77% (诊断) 和82% (活力).
结论:
- 应变分析值和视觉评估的墙壁运动收缩性之间存在强烈的关联.
- 在DSE期间进行视觉评估是心肌应变的可靠指标.
- 这些发现支持将菌株分析整合起来,以便更好地解释DSE发现.
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