右心室血栓在心声学上的表现
Rukmini Roy1, Brittney Guile1, Deyu Sun1
1Section of Cardiology, Heart and Vascular Center, University of Chicago, Chicago, Illinois.
The American journal of cardiology
|November 2, 2023
概括
在心声学上隔离的右心室血栓 (RVT) 往往与肺栓塞和深静脉血栓形成有关. 许多RVT在扩张,功能障碍的右心室中发现,这表明诊断不足.
科学领域:
- 心脏病学 心脏病学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 右心室血栓 (RVT) 主要是在肺栓塞 (PE) 的背景下进行研究.
- 隔离RVT的临床意义和诊断特征,通常通过跨胸腔心声扫描 (TTE) 发现,仍然未得到充分研究.
研究的目的:
- 确定与RVTs存在相关的心声回声和临床特征.
- 了解RVT患者的深静脉血栓症 (DVT) 和PE等相关疾病的患病率.
主要方法:
- 在1998年至2023年期间,对138名RVT患者进行了TTE记录的回顾性审查.
- 人口统计数据的抽象,心内器件,高凝血条件,DVT,PE和左心室血栓史.
- 使用TTE测量对右和左心室大小和功能的评估.
主要成果:
- 几乎一半的RVT患者有心内器件;29%有高凝血状态.
- 大多数患者呈现出右心室扩张 (77%) 和功能障碍 (72%).
- 大约50%的RVT被检测在非标准的成像平面上,这表明潜在的低估.
- 在被评估的人群中,80%患有PE,53%患有DVT.
结论:
- 关于TTE的RVT发现经常与PE和DVT有关.
- 在RVT患者中,右心室扩张和功能障碍的高患病率需要进一步调查.
- 需要进行额外的研究来指导RVT调查协议,并了解它们对患者结果的影响.
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