应变成像作为急性心肌梗塞的早期预测因素 - 一个增强的横截面研究研究
Dhananjay Kumar1, Manish Saha2, Santanu Guha3
1Assistant Professor, Department of Cardiology, Narayan Medical College& Hospital, Jamuhar, Bihar, India.
Indian heart journal
|January 7, 2024
概括
通过斑点跟踪心声学评估的全球纵向应变 (GLS) 与急性心肌梗塞 (AMI) 患者的左心室喷射率 (LVEF) 和NT-proBNP水平有很强的相关性. 它是死亡率和心力衰竭的独立预测因素.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 心肌梗塞 (MI) 总是影响心脏纤维,纵向应变在缺血早期出现.
- 应变成像,特别是全球纵向应变 (GLS),对于评估心肌功能在MI后至关重要.
研究的目的:
- 评估急性心肌梗塞 (AMI) 患者的应变成像.
- 为了将GLS和腹筋应变 (DESL) 的发现与已确定的心肌功能标志物相关联.
主要方法:
- 一项增强的横截面研究,涉及157名AMI患者.
- 基线评估和1,3个月和6个月后的随访.
- 统计分析包括千平方,皮尔森相关性和学生t测试.
主要成果:
- 在STEMI患者的6个月内观察到GLS和NT-proBNP水平的显著差异.
- 70%的NSTEMI患者呈阳性内心应变 (ESL),而90.02%没有区域壁运动异常 (RWMA) 的STEMI患者呈阳性ESL.
结论:
- 通过斑点跟踪回声心脏学 (STE) 测量的全球纵向应变 (GLS) 与左心室喷射率 (LVEF),壁运动得分指数 (WMSI) 和NT-proBNP.
- 在AMI患者中,GLS是死亡率和心力衰竭的独立预测因素.
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