甲状腺功能过高患者在休息和运动期间的右室功能指数:一个横截面研究.
Khadije Mohammadi1, Maryam Shojaeifard2, Marzieh Mirtajaddini3
1Cardiovascular Research Center, Kerman University of Medical Sciences, Kerman, Iran.
甲状腺功能过高严重损害了右心室 (RV) 功能,特别是在压力期间. 对于甲状腺功能过高患者来说,早期评估RV功能至关重要,以防止不良结果.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 诊断成像 诊断成像 诊断成像
背景情况:
- 甲状腺功能障碍与潜在的右心室 (RV) 功能障碍有关.
- 应变回声心电图提供了详细的评估RV功能.
研究的目的:
- 用应变回声心脏学来研究甲状腺功能过高患者的RV功能.
- 为了比较甲状腺功能在休息状态和最大压力期间的甲状腺功能在甲状腺功能过高患者和对照组之间.
主要方法:
- 一项涉及52名参与者的横截面研究 (26名甲状腺功能高,26名对照).
- 进行了二维心声回声和最大跑步机运动测试.
- 在休息和峰值压力时分析了RV功能指数.
主要成果:
- 甲状腺多功能患者在最大压力期间显著减少了RV全球纵向应变,缩和放缩应变率,以及三环状平面缩外流.
- 在RV大小和甲状腺刺激激素 (TSH) 水平之间发现了显著的线性相关性.
- TSH水平与最大应力RV菌株和透缩菌株速率负相关.
结论:
- 甲状腺功能过高会显著改变RV功能指数,尤其是在压力下.
- 早期诊断和治疗甲状腺功能障碍是必不可少的.
- 在甲状腺功能过高的患者中,应考虑进行常规的RV功能评估.
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