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Murine Echocardiography of Left Atrium, Aorta, and Pulmonary Artery
Published on: February 20, 2017
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左心室体积和心室体积比率算法作为肺高血压病因的指示
Yoav Granot1, Tomer Ziv-Baran2, Shlomo Berliner3
1Department of Cardiology, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
Acta radiologica (Stockholm, Sweden : 1987)
|July 14, 2023
概括
计算机断层扫描肺血管造影 (CTPA) 可以区分急性肺栓塞 (APE) 和慢性肺高血压 (PH). 右至左心室体积比 (VVR) 和左心房体积指数有助于区分这些疾病.
科学领域:
- 心血管成像 - 心血管成像
- 肺高血压研究 肺高血压研究
- 放射学 放射学是一门学科.
背景情况:
- 肺高血压 (PH) 涉及心脏右侧压力过载,改变心室尺寸.
- 计算机断层扫描肺血管造影 (CTPA) 现在为心室体积提供了自动四室体积分析.
研究的目的:
- 为了表征响应缩性肺动脉压升高 (sPAP) 的体积变化.
- 为了比较急性肺栓塞 (APE) 等急性事件中的这些变化与其他PH病因.
主要方法:
- 包括961名连续接受CTPA和24小时内心声扫描的患者 (2011-2015).
- 研究的心室体积差异与患者的sPAP相关.
主要成果:
- 221名患者 (23%) 患有APE. APE患者表现出较高的右 (RV) 到左 (LV) 腹腔体积比率 (VVR) 和较小的左心房 (LA) 体积指数.
- 一个决策树表示RV到LVVVR>2.8表明APE,而LA体积指数>37.5mL/m2表明PH来自其他原因.
结论:
- 结合VVR和LA体积指数,可以区分APE和慢性PH.
- 来自CTPA的体积数据可以帮助澄清呼吸障碍的病因.
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