[使用二维斑点跟踪回声心脏学对右心室功能进行评估,并分析病患者右心室功能障碍的风险因素]
1Department of Ultrasound Medicine, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, China.
概括
右心室功能障碍在病患者中很常见,特别是那些患有第三阶段疾病的人. 二维斑点跟踪回声心电图有助于早期检测,低氧化和空气流量限制是关键的危险因素.
科学领域:
- 心脏病学 心脏病学
- 肺部病理学 肺部病理学
- 职业医学 职业医学是专业的.
背景情况:
- 病是一种职业肺部疾病,可以导致肺高血压和右心应变.
- 右心室功能障碍是影响患者预后的重大并发症.
研究的目的:
- 为了评估病患者的右心室功能,使用二维斑点跟踪心电回声学 (2-D STE).
- 在这个人群中识别与右心室功能障碍相关的风险因素.
主要方法:
- 104名病患者使用2-D STE进行了对右心室自由壁纵向应变 (RVFWLS) 的评估,同时进行了常规心声学 (RVFAC,TAPSE,S').
- 根据RVFWLS,患者被分为有和没有右心室功能障碍的组.
- 用二进制物流回归分析来确定风险因素.
主要成果:
- 25%的病患者表现出右心室功能障碍.
- 在功能障碍组中观察到较低的RVFAC和TAPSE值.
- 功能障碍的危险因素包括1秒内强制呼吸量/强制生命能力比率<70%和III期化;较低的动脉部分氧气压力具有保护作用.
结论:
- 第三阶段的病与较早的阶段相比,右心室功能障碍的发病率更高.
- 2-D STE对于早期检测病中右心室功能障碍非常有价值.
- 低氧症,空气流量限制和先进的病阶段是右心室功能障碍的重要危险因素.
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