在手术治疗左心脏的右心室功能
I V Slivneva1, I Yu Farulova1, I I Skopin1
1Bakulev National Medical Research Center for Cardiovascular Surgery.
Kardiologiia
|December 29, 2023
概括
左心手术可以损害右心室 (RV) 功能,影响纵向和全局收缩性. 建议进行综合性心声回声扫描,以准确评估手术后的RV.
科学领域:
- 心脏病学 心脏病学
- 心脏外科手术 心脏外科手术
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 左心膜疾病往往需要手术干预.
- 右心室 (RV) 功能可能会受到左心病理和手术的影响.
- 术前和术后的RV评估对于患者的结果至关重要.
研究的目的:
- 为了评估左室外科手术后右室 (RV) 功能的变化.
- 为了确定受膜手术影响的特定RV功能参数.
- 为了将RV功能变化与不同类型的左心膜病理相关联.
主要方法:
- 一项前性队列研究,涉及197名患有左腔病理的患者.
- 在手术前和手术后一周内进行心前回声扫描.
- 评估各种RV纵向和全球收缩功能参数.
主要成果:
- 大多数患者在术后显示RV纵向和全球收缩功能下降.
- 纵向功能参数表现出更明显的下降 (p<0.001).
- 甲状腺缺陷组在RV收缩功能中发生了最大的变化; 甲状腺狭窄组显示TAPSE显著下降 (p=0.027); 大动脉缺陷组具有广泛的RV功能下降 (p<0.05).
结论:
- 左心膜病变的外科手术可以导致独立于左心室状态的RV功能下降.
- 现代心声回声学允许对RV收缩功能进行多向量评估.
- 全球和纵向参数的组合是全面的RV功能评估的建议.
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