在患有大动脉病的患者心脏周期期间动态大动脉变化,通过计算机断层扫描分析与PhyZiodynamics软件相结合
Togo Norimatsu1, Nobuo Iguchi2, Mitsuaki Isobe3
1Department of Vascular Surgery, Sakakibara Heart Institute, 3-16-1 Asahi-cho, Fuchu-shi, Tokyo, 183-0003, Japan. dion_by_ocn@yahoo.co.jp.
The international journal of cardiovascular imaging
|July 15, 2023
概括
上升的大动脉上升的大动脉.
科学领域:
- 心血管成像和动力学
- 大动脉生理学 大动脉生理学
- 大动脉的生物机械分析.
背景情况:
- 了解上升性大动脉的动态变化对于未来的内血管治疗至关重要.
- 目前关于上升大动脉动态行为的知识仍然有限.
研究的目的:
- 评估大动脉横截面区域的动态变化.
- 确定影响大动脉这些动态变化的决定因素.
主要方法:
- 在75名患者中使用动态计算机断层扫描 (CT) (大动脉吐,大动脉狭窄,对照).
- 使用中线方法分析了上升和下降大动脉的截面区域.
- 测量变化速率和每个心跳的截面面积变化的峰值速率.
主要成果:
- 上升性大动脉的变化率为4.4%,峰值面积变化为0.3mm2/msec.
- 与狭窄和对照组相比,大动脉 regurgitation 患者的大动脉变化显著增加.
- 增加的中风体积与更大的大动脉扩张相关,而年龄与扩张率的下降有关.
结论:
- 上升性大动脉在一个心跳内表现出显著的直径变化.
- 这些动态变化受到大动脉吐,患者年龄和中风量的影响.
相关概念视频
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
32
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
32
Aortic Regurgitation I: Introduction
18
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
18
Aortic Regurgitation III: Medical Management
26
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
26
Aneurysm II: Clinical Manifestations and Diagnostic Studies
10
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
10


