在冠状动脉缓慢流动的患者中评估左心室功能:系统性审查和元分析
Tianxin Dong1,2, Qing Zhu1,2, Shang Wang3
1Department of Cardiovascular Ultrasound, The First Hospital of China Medical University, Shenyang, Liaoning, China.
Cardiology journal
|July 31, 2023
概括
冠状动脉缓慢流动 (CSF) 损害左心室 (LV) 缩和放缩功能. 这种损伤在心肌梗塞框架数 (TFC) 中的高血栓溶解时会恶化,这表明CSF严重程度和LV功能障碍之间存在直接关系.
科学领域:
- 心脏病学 心脏病学
- 心血管成像 - 心血管成像
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 冠状动脉缓慢流 (CSF) 的特点是延迟远端 perfusion 没有显著的冠状动脉狭窄.
- 在CSF患者中,左心室 (LV) 功能变化报告不一致.
- 澄清LV功能变化和影响CSF的因素至关重要.
研究的目的:
- 在冠状动脉慢流 (CSF) 患者中,系统地评估左心室 (LV) 缩和放缩功能.
- 确定影响CSF中LV功能的因素,例如心肌梗塞框架计数 (TFC) 中的血栓溶解,以确定CSF中的LV功能.
主要方法:
- 在PubMed,Embase和Cochrane图书馆进行系统的文献搜索.
- 对LV函数参数标准化平均差异的元分析.
- 亚组,元回归和相关性分析,以探索影响因素.
主要成果:
- 分析了22项研究,包括1101名脑脊髓炎患者.
- 脊髓瘤患者的脊髓瘤喷射功能降低和全球纵向应变.
- 观察到左心房大小/体积增加,E/e'升高,E/A和e'降低;较高的TFC与较大的LV功能障碍相关.
结论:
- 在冠状动脉缓慢流动 (CSF) 患者中,左心室的静脉缩和静脉缩功能受损.
- 在CSF中LV功能障碍的程度与严重程度直接相关,如TFC所示.
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