一个手持心脏超声波设备的临床比较,用于评估左心室功能
Andrea Teira Calderón1,2, Molly Levine3, Cristina Ruisánchez4,5
1Hospital Universitari i Politécnic La Fe, Valencia (Valencia), España. andreateira@gmail.com.
The international journal of cardiovascular imaging
|October 26, 2023
概括
手持式超声波设备 (HHUD) 可以在床边准确评估左心室喷射率 (LVEF). 这项技术与传统心声回声学有很强的相关性和一致性,促进了临床实践.
科学领域:
- 心血管成像 - 心血管成像
- 临床诊断 临床诊断 临床诊断 临床诊断
- 医学超声波技术 医学超声波技术
背景情况:
- 手持式超声波设备 (HHUD) 提供了在护理地点进行心血管评估的潜力.
- 需要对心血管异常进行HHUD的严格评估.
研究的目的:
- 评估HHUD视觉评估的左心室射出小部分 (LVEF) 与标准心声谱 (EC) 的相关性和一致性.
- 为了确定适度经验丰富的超声波仪使用HHUD进行LVEF评估的准确性.
主要方法:
- 未来单中心研究涉及120名成年住院和门诊患者.
- 由HHUD视觉评估的LVEF与来自心声实验室的常规LVEF评估的比较.
主要成果:
- 高相关性 (R平方=0.94) 和协议 (ICC=0.93) 之间的HHUD和标准EC为LVEF.
- 对于LVEF分层 (正常/减少) 的总体共识为89.1% (kappa = 0.77).
- 在主要冠状动脉区域检测区域壁运动异常 (RWMA) 方面达成强有力的协议.
结论:
- 经验适度的操作员可以使用当前的床边HHUD准确估计LVEF.
- HHUD技术显示了整合到日常临床实践的希望,以改善患者管理.
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