左心房应变为在双主动脉功能良好的患者中评估早期腹痛功能障碍带来了新的见解
Yuting Tan1,2,3, Wenhui Deng1,2,3, Tianshu Liu1,2,3
1Department of Ultrasound, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Echocardiography (Mount Kisco, N.Y.)
|October 17, 2023
概括
双主动脉 (BAV) 患者的左心房储应变 (LARS) 降低表明亚临床的扩张功能障碍. 拉斯 (LARS) 有助于对BAV患者的风险分层.
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.
- 血管生理学 血管生理学
背景情况:
- 左心房储压力 (LARS) 是左心室 (LV) 扩张功能障碍的敏感指标.
- 两大动脉 (BAV) 功能良好的患者中LARS的临床意义尚不清楚.
研究的目的:
- 在具有良好功能BAV的患者中分析LARS.
- 为了确定影响LARS在这个人群中的因素.
主要方法:
- 对LARS,LV全球纵向应变 (LVGLS) 和大动脉弹性指数的心声评估.
- 在103名BAV患者和50名控制组中进行了三主动脉的比较.
主要成果:
- 与对照组相比,患有BAV的患者表现出明显较低的LARS和LVGLS.
- 在BAV患者中也观察到异常的大动脉弹性指数.
- LARS与LVGLS,腹腔隔膜,e'速度,E/e'比率和大动脉弹性指数有显著的相关性.
结论:
- 在功能良好的BAV患者中LARS的降低表明亚临床LV的透缩功能障碍.
- 在BAV患者的风险分层中,LARS可以是一个有价值的工具.
相关概念视频
Aortic Regurgitation II: Clinical Features and Diagnostic Tests
22
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...
22
Mitral Stenosis II: Clinical features and Diagnostic Tests
22
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...
22
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
37
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
37
Mitral Valve Prolapse II: Assessment and Management
19
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
19
Mitral Stenosis I: Introduction
15
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
15
Aortic Regurgitation III: Medical Management
24
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
24


