在评估严重三回的右心室功能的未满足需求
Vasileios Anastasiou1, Maria-Anna Bazmpani1, Stylianos Daios1
1First Department of Cardiology, AHEPA Hospital, School of Medicine, Aristotle University of Thessaloniki, 541 24 Thessaloniki, Greece.
Diagnostics (Basel, Switzerland)
|September 28, 2023
概括
三回 (TR) 影响心血管健康,往往导致右心室 (RV) 功能障碍. 本综述探讨了先进的成像技术,以更好地评估RV功能,并改善严重TR患者的治疗结果.
科学领域:
- 心脏病学 心脏病学
- 心血管成像 - 心血管成像
- 膜心脏疾病 膜心脏疾病
背景情况:
- 三管反 (TR) 是一种普遍的疾病,与不良的心血管结果有关.
- 目前的指导方针建议在显著的右心室 (RV) 功能障碍之前进行三管修复,但普遍定义这种功能障碍仍然具有挑战性.
- 迟到的TR干预推送减少了由于已确定的RV功能障碍的程序性益处.
研究的目的:
- 系统地审查传统和新型多式联络指数,以评估严重TR的RV功能.
- 完善对重症TR患者的RV功能评估策略.
- 为了改善患有严重TR的患者的临床结果.
主要方法:
- 传统心声回声指数的系统评估.
- 评估新的心声回声技术,如斑点追踪应变.
- 在VR功能评估中对心脏计算机断层扫描和心脏磁共振的新兴证据的审查.
主要成果:
- 传统的回声心脏指数在精确描述RV性能方面存在局限性.
- 新的方法,包括菌株成像,在早期检测RV损伤方面表现有前途.
- 多模式成像方法为TR的RV功能提供了更深入的见解.
结论:
- 准确和普遍的VR功能评估对于及时的TR干预至关重要.
- 先进的成像模式对于完善重度TR的RV评估至关重要.
- 改善VR功能评估可以为TR患者带来更好的管理和结果.
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