在健康受试者和患有大动脉狭窄症的患者的左心室壁中的机械波速
Torvald Espeland1, Morten S Wigen2, Havard Dalen3
1Department of Circulation and Medical Imaging, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway; Clinic of Cardiology, St Olav's Hospital, Trondheim University Hospital, Trondheim, Norway.
JACC. Cardiovascular imaging
|September 7, 2023
概括
机械波速 (MWV) 测量显示,在健康个体的心房动期间,心脏侧面壁的速度更高. 这种方法可以帮助区分健康的人与有大动脉狭窄的人,特别是在大动脉关闭时.
科学领域:
- 心脏病学 心脏病学
- 生物医学工程 生物医学工程
- 医疗成像医学成像
背景情况:
- 机械波速 (MWV) 测量是一种有前途的非侵入性技术,用于评估心肌硬度.
- 升高的MWV与心肌疾病相关,表明其潜在的诊断价值.
研究的目的:
- 为了估计MWVs在不同的左心室壁和在特定的心脏事件在健康的受试者和患有大动脉狭窄 (AS) 的患者.
- 评估一种新的方法的可行性和可重复性,用于检测使用高率回声心脏学检测心肌机械波.
主要方法:
- 利用高率回声心脏学和杂乱波成像方法来估计MWVs.
- 包括63名健康受试者和13名严重AS患者,其中42名接受心脏磁共振以进行比较.
主要成果:
- 在健康受试者中,心房波检测的可行性超过了所有左心室壁的93%.
- 在健康个体的隔膜壁相比,侧壁 (下侧,前侧) 的MWV显着更高.
- 大动脉关闭时的七面膜MWV在AS患者和健康对照人群中显著升高.
结论:
- 在心房动期间估计MWV是可行的,并显示较高的速度在横向与隔膜壁相比.
- 建议对机械波倾的质量评估指标进行一致的测量.
- 大动脉关闭机械波显示,健康人与AS患者之间的区别最好.
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