在患有隔离性心房动脉瘤的患者中评估双心房机械功能
Betül Cengiz Elçioğlu1, Saide Aytekin1
1Department of Cardiology, Koç University Hospital, Istanbul, Türkiye.
概括
患有心房隔膜动脉瘤 (ASA) 的患者表现出心房功能减弱,特别是左心房和右心房水库减弱和收缩应变. 这种心房机械功能受损可能解释了他们患有全身血栓塞的风险增加.
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.
- 心脏机械学 心脏机械学
背景情况:
- 前庭隔膜动脉瘤 (ASA) 与系统性栓塞的风险增加有关.
- 前庭机械功能障碍是这种风险潜在的潜在机制.
研究的目的:
- 为了评估左心房 (LA) 和右心房 (RA) 机械功能,患者与孤立的ASA.
- 使用二维斑点跟踪回声心脏图 (2D STE) 来评估心房功能.
主要方法:
- 将54名患有孤立ASA的患者与48名健康对照进行了比较.
- 评估LA和RA储应变 (RS),峰值收缩应变 (PCS) 和导管应变 (CS) 使用2D STE.
- 包括传统的胸前回声心脏成像.
主要成果:
- 与对照组相比,患有ASA的患者表现出明显较低的LA储应变 (RS) 和峰值收缩应变 (PCS).
- 患有ASA的患者也表现出明显较低的RARS和RAPCS.
- 多变量回归证实了ASA和降低心房应变措施之间的强有力的独立关联.
结论:
- 在患有孤立ASA的患者中,双心房机械功能减弱.
- 这种功能障碍可能会导致动脉栓塞的风险增加.
- 需要进一步的研究来验证发现并告知临床管理.
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