患有肺狭窄症的儿科患者的右心室功能急性变化,接受皮肤膜整形手术:一个斑点追踪研究
Domenico Sirico1, Giulia Spigariol1, Heba Talat Mahmoud1
1Pediatric and Congenital Cardiology Unit, Department for Women's and Children's Health, University Hospital of Padova, 35128 Padua, Italy.
Journal of clinical medicine
|July 14, 2023
概括
穿皮气球肺膜整形有效降低严重肺狭窄的压力. 虽然整体右心室功能立即改善,纵向功能在手术后24小时仍然受损.
科学领域:
- 心脏病学 心脏病学
- 儿童心脏病学 儿童心脏病学
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 肺狭窄严重影响右心室 (RV) 功能.
- 穿皮气球膜整形 (BPV) 是严重的肺狭窄的主要治疗方法.
- 儿科患者BPV后的RV功能即时变化尚未得到充分了解.
研究的目的:
- 为了评估RV机械在儿科患者的RV机械在膜肺狭窄的BPV后.
- 用心声和斑点追踪来评估RV功能早期变化.
主要方法:
- 43名患有严重肺狭窄的儿科患者接受了BPV.
- 在手术前和后进行过胸腔回声心电图 (TTE) 和斑点追踪回声心电图 (STE).
- 在BPV之前和之后记录了侵入性血液动力学参数.
主要成果:
- BPV显著降低了跨肺梯度和RV缩压.
- RV的部分面积变化 (FAC) 在术后显著改善.
- 纵向缩功能参数 (TAPSE,RVFWLS) 没有显著改善;然而,区域分析显示了改善的顶端段变形.
结论:
- 肺静脉复合是一种治疗严重肺狭窄的有效和安全的方法.
- 立即的全球RV缩功能在BPV后得到改善,但纵向功能可能需要更长的恢复.
- 心声学评估揭示了BPV后RV机制的细微变化.
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