右心室 - 血管分离预测肺高血压在临床诊断心力衰竭与保存的喷射部分的肺高血压
Zheng-Wei Chen1,2,3, Yi-Wei Chung1,3,4, Jen-Fang Cheng1
1Division of Cardiology, Department of Internal Medicine National Taiwan University College of Medicine and Hospital Taipei Taiwan.
Journal of the American Heart Association
|December 29, 2023
概括
像TAPSE/PASP这样的心声学参数可以帮助检测心力衰竭患者的肺高血压 (PH). 这些测量表明右心室-肺动脉脱,对于识别PH至关重要.
科学领域:
- 心脏病学 心脏病学
- 肺部医学 肺部医学
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 肺高血压 (PH) 是常见的心力衰竭与保存的喷射分数 (HFpEF) 和预测糟糕的结果.
- 在HFpEF中识别PH对于患者的管理和预后至关重要.
研究的目的:
- 确定回声心脏学参数,用于预测HFpEF患者的PH.
- 为了评估右心室 - 肺动脉解指数的实用性.
主要方法:
- 113名HFpEF患者同时接受了心声回声和侵入性心脏导管治疗.
- 计算了三环状平面缩外流 (TAPSE) /肺动脉缩压 (PASP) 和TAS'/PASP.
- 接收器操作特征 (ROC) 曲线分析确定了最佳切断值.
主要成果:
- 患有HFpEF和PH的患者 (n=68) 显示TAPSE/PASP和TAS'/PASP的水平低于没有PH的患者 (n=45).
- 这些指数与肺毛细管压力和肺动脉平均压力相关联.
- 在多变量分析中,TAPSE/PASP预测了运动血液动力学.
结论:
- 右心室-肺动脉脱与HFpEF中的异常血液动力学有关.
- TAPSE/PASP和TAS'/PASP是用于检测HFpEF中的PH的有价值的心声回声工具.
更多相关视频
07:41Induction and Phenotyping of Acute Right Heart Failure in a Large Animal Model of Chronic Thromboembolic Pulmonary Hypertension
Published on: March 17, 2022
3.0K
10:33Assessment of Right Ventricular Structure and Function in Mouse Model of Pulmonary Artery Constriction by Transthoracic Echocardiography
Published on: February 3, 2014
27.8K
相关概念视频
Pathophysiology of Heart Failure
1.6K
Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
1.6K
Pulmonary Hypertension: Classification and Pathogenesis
184
Pulmonary hypertension (PH) is a severe health condition in which the mean pulmonary arterial pressure increases to 25 mmHg or more, even when the body is at rest. This high pressure in the blood vessels that transport blood from the heart to the lungs can cause various symptoms, including shortness of breath, can lead to right heart failure, and significantly affect the overall quality of life.
There are various classifications for PH, each relating to different underlying causes and also...
There are various classifications for PH, each relating to different underlying causes and also...
184
Imbalances in Cardiac Output
1.4K
The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
1.4K
