使用心脏磁共振评估左捆分支阻塞患者的心肌张力模式的评估
Marina Raquel Santos1,2, Mariana Santos Silva3,4, Sara Lopes Guerreiro3
1Hospital Dr. Nélio Mendonça, Funchal, Portugal. m.raquel.santo1992@gmail.com.
The international journal of cardiovascular imaging
|February 20, 2024
概括
心血管磁共振 (CMR) 可以分类左捆分支区块 (LBBB) 应变模式,与左心室 (LV) 改造和功能障碍相关联,独立于心肌痕.
科学领域:
- 心血管成像 - 心血管成像
- 心脏磁力共振成像 (MRI)
- 肌心筋应变分析
背景情况:
- 心声学在左束支部块 (LBBB) 中发现了四个隔膜纵向应变模式,表明左心室 (LV) 重建的频谱.
- 使用心血管磁共振 (CMR) 分类这些模式的临床意义和可行性尚未完全阐明.
研究的目的:
- 评估使用CMR对LBBB诱导的隔膜纵向应变模式进行分类的可行性.
- 评估这些CMR衍生的应变模式与LV重塑,LV功能障碍和心肌痕之间的关联.
主要方法:
- 一个单一中心注册了115名LBBB患者的隔膜闪光,这些患者被转介为CMR.
- 半自动特征追踪CMR (FT-CMR) 用于心肌菌株量化和模式分类.
- 分析包括评估LV体积,喷射分数和肌肉心脏痕晚期加多增强 (LGE) 的评估.
主要成果:
- 在115名患者中,使用FT-CMR成功分类了四种LBBB菌株模式.
- 较高的应变模式阶段与增加的隔膜闪,较大的LV体积,减少的LV喷射率和较低的绝对应变值 (p < 0.05) 相相关.
- 在菌株模式中没有观察到LGE的存在,分布或位置的显著差异.
结论:
- FT-CMR可用于分类LBBB诱导的隔膜纵向应变模式.
- 这些模式与LBBB患者的LV重塑和功能障碍的程度密切相关.
- 应变模式和LV重塑之间的观察到的关联是独立于心肌痕的存在或分布.
关键词:
这是一个FT-CMRR.LBBB LBBB LBBB LBBB LBBB LBBB LBBB LBBB LBBB LBBB LBBB LBBB LBBB LBBB LBBB LBBB LBBB LBBB LBBB LBBB LBBB LBBB LBBB LBBB LBBB LBBB在LV改造的过程中,七道管的闪光灯,可以看到.应变模式 应变模式更多相关视频
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