增加左心房硬度与糖尿病患者的阴性心房显著相关
Diana-Aurora Arnautu1,2, Sergiu-Florin Arnautu1,3, Mirela-Cleopatra Tomescu1,3
1Multidisciplinary Heart Research Center of the "Victor Babes", Internal Medicine Department, University of Medicine and Pharmacy, Timisoara, Romania.
概括
患有心房的糖尿病患者显示左心房功能受损. 二维斑点跟踪回声心脏学可以识别这些变化,有助于糖尿病患者的风险评估.
科学领域:
- 心脏病学 心脏病学
- 糖尿病学 糖尿病学
- 医疗成像医学成像
背景情况:
- 糖尿病 (DM) 是心房动 (AF) 的一个危险因素.
- 同时存在的AF可以使糖尿病患者的结果恶化.
- 需要新的方法来评估糖尿病人群中的AF风险.
研究的目的:
- 评估二维斑点跟踪心声学 (2D-STE) 是否可以确定糖尿病患者的AF风险标准.
- 为了比较糖尿病患者的左心房 (LA) 变形模式,有和没有心脏动 (PAF).
主要方法:
- 追溯性研究比较30名患有PAF的糖尿病患者和30名没有PAF的糖尿病患者.
- 纳入标准:二型糖尿病,年龄≥18,鼻节律.
- 排除标准:膜疾病,先前的肌肉冲击,LVEF<50%,等等.
- 进行了跨胸腔心声扫描,包括2D-STE.
主要成果:
- 患有PAF的糖尿病患者显著损害了LA变形.
- 在PAF组中观察到减少LA菌株和增加LA度 (p < 0.05).
结论:
- 在糖尿病患者中,LA菌株和硬度与PAF发生有显著的关联.
- 在检测这些变化方面,LA的2D-STE比常规心声回声更敏感.
- 对于患有PAF风险的糖尿病患者,应考虑2D-STE.
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