在患有埃布斯坦异常的患者中,对右心室全球纵向菌株测量的预后性能
Alexander C Egbe1, William R Miranda1, C Charles Jain1
1Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota, USA.
Journal of the American College of Cardiology
|August 2, 2023
概括
右心室全球纵向应变 (RVGLS) 是埃布斯坦异常患者死亡率的强大预测因素. 与风险分层的传统方法相比,这种心声回声测量提供了更好的预后洞察力.
科学领域:
- 心脏病学 心脏病学
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
- 医学诊断 医学诊断 医学诊断
背景情况:
- 关于埃布斯坦异常的右心室全球纵向应变 (RVGLS) 的预后意义的数据有限.
- 评估RVGLS有助于理解这种患者群体的右心室 (RV) 缩功能.
研究的目的:
- 评估RVGLS与EBSTEIN异常成年人死亡率之间的关联.
- 为了比较RVGLS的预后性能与RV缩功能的常规回声心脏学指数.
主要方法:
- 患有埃布斯泰恩异常的成年患者接受了RV系统功能的回声心脏学评估,包括RVGLS,RV部分面积变化 (RVFAC),RV组织多普勒系统速度 (RVs') 和三环状平面系统外流 (TAPSE).
- 从2003年到2020年收集数据,RVGLS被分析为绝对值.
主要成果:
- RVGLS与RVFAC,RVs和TAPSE有显著的相关性.
- 绝对的RVGLS证明了与所有原因和心血管死亡率的独立关联.
- 与RVFAC,RVs和TAPSE相比,RVGLS在预测死亡率方面表现出更好的预后能力.
结论:
- RVGLS是Ebstein异常患者风险分层的一个有价值的工具.
- 需要进一步的研究来探索基于RVGLS指导风险分层的干预措施的影响.
更多相关视频
07:11Morphological and Functional Assessment of the Right Ventricle Using 3D Echocardiography
Published on: October 28, 2020
2.9K
10:33Assessment of Right Ventricular Structure and Function in Mouse Model of Pulmonary Artery Constriction by Transthoracic Echocardiography
Published on: February 3, 2014
27.8K
相关概念视频
01:22Aortic Regurgitation II: Clinical Features and Diagnostic Tests
24
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...
24
01:23Mitral Stenosis II: Clinical features and Diagnostic Tests
23
Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
23