运动员的大动脉反:心声回声学解释的挑战
Nikhil Chatrath1, Jamie O'Driscoll2, Sanjay Sharma2
1Cardiovascular Clinical Academic Group, St George's, University of London, Cranmer Terrace, London, SW17 0RE, UK. nchatrat@sgul.ac.uk.
Echo research and practice
|December 13, 2023
概括
双大动脉 (BAV) 与大动脉吐 (AR) 可以导致左心室 (LV) 变化,模仿运动适应. 具有BAV-AR的高度活跃的个体表现出较大的LV体积,突出显示了诊断方面的挑战.
科学领域:
- 心脏病学 心脏病学
- 遗传性心脏缺陷 遗传性心脏缺陷
- 心脏成像 - - 心脏成像
背景情况:
- 双主动脉 (BAV) 是最常见的先天性心脏缺陷,通常导致主动脉吐 (AR).
- 在运动员中评估AR是具有挑战性的,因为重叠的生理和病理左心室 (LV) 改造.
- 这项研究解决了BAV.在活跃个体中AR的诊断和管理挑战.
研究的目的:
- 突出在BAV的运动员中评估AR的挑战.
- 审查有关这个主题的现有文献.
- 讨论管理这些复杂案例的策略,以队列比较为例.
主要方法:
- 已确诊的BAV和中度至重度AR的成年男性接受过胸前心声扫描 (TTE).
- 根据身体活动问卷,被试被分为"高度活跃"或"轻度活跃"的组.
- 在两个活动组之间比较了人口和TTE参数.
主要成果:
- 分析了17名具有BAV-AR的高度活跃和13名轻度活跃的男性.
- 两组之间没有发现年龄,身高,体重或AR严重程度的显著差异.
- 高度活跃的个体表现出明显更高的中风体积,更大的LV体积,以及心房和右心室尺寸的增加.
结论:
- 运动诱导的生理适应和AR相关的病理重塑之间存在显著的重叠.
- 多模式成像和压力测试对于准确的诊断和管理至关重要.
- 这些工具有助于临床医生,当AR严重程度和患者的症状在炼个体中显得不一致时.
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