维护血液透析患者的左心室功能:一项三维斑跟踪成像研究
Meihua Chen1, Xiaojuan Chen2, Hanyin Huang3
1Department of Ultrasound Medicine, The Second Affiliated Hospital of Hainan Medical University, Haikou, China, 522395602@qq.com.
Cardiorenal medicine
|August 16, 2023
概括
维护血液透析 (MHD) 在末期病 (ESRD) 患者中恶化心脏功能,即使射出分数正常. 三维斑点追踪成像 (3D-STI) 可以检测这些早期的无症状异常.
科学领域:
- 心脏病学 心脏病学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医疗成像医学成像
背景情况:
- 末期病 (ESRD) 接受维持血液透析 (MHD) 的患者尽管保留了喷射分数,但患病率很高.
- 左心室 (LV) 的结构和功能变化是常见的,但在ESRD中往往无症状.
研究的目的:
- 使用3D斑点追踪成像 (3D-STI) 识别MHDESRD患者的LV结构和功能异常.
主要方法:
- 评估了85名ESRD患者 (55名MHD,30名非透析患者) 和30名对照患者.
- 常规心声学和3D-STI测量了LV质量和全球应变参数 (GLS,GCS,GAS,GRS).
主要成果:
- 在ESRD患者中,LV缩是常见的.
- 与非透析和对照组相比,MHD患者的LV质量指数显著更高.
- 在MHD患者中,GLS,GCS,GAS和GRS显著减少,表明LV变形受损.
结论:
- 在ESRD患者中,MHD会加剧LV变形和功能障碍,即使保持LVEF.
- 3D-STI是检测ESRD患者这些临床前LV异常的一个有价值的工具.
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