患有Fontan循环的患者的压力成像:系统性审查
Charlotte N G Lanser1, Wessel H A van Poecke1, Linda E Scheffers1
1Department of Pediatrics, division of Pediatric Cardiology, Erasmus MC - Sophia Children's Hospital, Rotterdam, Netherlands.
International journal of cardiology
|July 21, 2023
概括
芬顿患者的心脏应激反应与健康个体不同,心率和心脏输出量的增加有所减少. 压力成像是安全的,但需要进一步调查临床价值在这个人群.
科学领域:
- 心脏病学 心脏病学
- 儿童心脏病学 儿童心脏病学
- 心脏成像 - - 心脏成像
背景情况:
- 丰坦循环带来了独特的生理挑战,影响了心脏功能.
- 了解心脏应激反应对于管理Fontan患者至关重要.
研究的目的:
- 审查Fontan患者的心脏应激反应.
- 评估压力成像在这个群体中的使用,安全性和临床价值.
主要方法:
- 用Fontan患者的压力成像对心脏功能的研究进行系统审查.
- 包括截至2021年12月12日发表的研究.
- 分析了32项涉及728名Fontan患者的研究数据.
主要成果:
- 与对照组相比,压力成像显示了心脏反应的改变,包括心率下降和中风体积增加.
- 射出分数通常会增加,而在应力状态下,体积会减少.
- 身体压力导致心率高于dobutamine诱导的压力;没有报告重大不良事件.
结论:
- 福顿患者的心脏应激反应与健康人群不同,心率和心率的增加受损.
- 压力成像在Fontan患者中是一种安全的模式,但其临床实用性需要进一步详细调查.
相关概念视频
Imaging Studies for Cardiovascular System II:Types of Echocardiography
305
Echocardiography plays a role in assessing cardiac health and detecting heart conditions, with various types providing critical insights for diagnosis and treatment.
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
Types of Echocardiography
Transthoracic Echocardiography (TTE)
TTE is the most common type of echocardiogram which involves placing a transducer on the patient's chest, emitting sound waves to create heart images. TTE is invaluable for evaluating the heart's size, structure, and motion, making it particularly useful for...
305
Imaging Studies for Cardiovascular System V: CT
44
Cardiac computed tomography (CT) scanning is an advanced cardiac imaging technique that utilizes CT technology, with or without intravenous (IV) contrast, to produce accurate cross-sectional virtual slices of specific areas of the heart, coronary circulation, and major blood vessels such as the aorta, pulmonary veins, and arteries. The computer processes these slices to generate three-dimensional images. Multidetector CT (MDCT) is a rapid form of CT scanning that captures multiple slices...
44
Imaging Studies for Cardiovascular System I:Echocardiography
383
Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
383
Imaging Studies for Cardiovascular System III: X-Ray
218
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
218
Imaging Studies for Cardiovascular System IV: CMRI
64
Cardiovascular magnetic resonance imaging, or CMRI, is a non-invasive diagnostic test that employs a magnetic field and radiofrequency waves to create precise images of the heart and arteries. It provides comprehensive information about cardiac anatomy, function, perfusion, and tissue characterization without ionizing radiation.IndicationsCMRI diagnoses various heart conditions, including tissue damage from heart attacks, ischemic heart disease, myocarditis, aortic issues (tears, aneurysms,...
64


