在越南中部的2型糖尿病患者中通过斑点跟踪回声心脏学评估左心房功能变化:一个横截面的比较研究
Hai Nguyen Ngoc Dang1, Thang Viet Luong2, Toan Thanh Tran3
1Duy Tan University, Da Nang, Vietnam. ngochai123dc@gmail.com.
概括
2型糖尿病 (T2DM) 损害左心房 (LA) 功能,显著减少储,导管和收缩性应变. 在T2DM患者中,即使没有扩大的LA体积或质量,这些缺陷也会发生.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 医疗成像医学成像
背景情况:
- 2型糖尿病 (T2DM) 是一种影响血管和神经系统的代谢障碍.
- 关于T2DM对左心房 (LA) 功能影响的研究有限.
- 这项研究调查了越南中部T2DM患者的LA功能.
研究的目的:
- 在2型糖尿病患者中评估左心房 (LA) 功能.
- 为了比较T2DM患者和健康个体之间的LA功能,使用斑点跟踪心声学 (STE).
主要方法:
- 一项涉及134名受试者 (66名T2DM患者,68名健康对照) 的横截面比较研究.
- 斑点跟踪回声心电图 (STE) 用于评估LA储应变 (LASr),LA导管应变 (LAScd) 和LA收缩应变 (LASct).
- 分析包括具有正常LA体积指数 (LAVI) 和左心室质量指数 (LVMI) 的T2DM患者.
主要成果:
- 与T2DM组相比,健康个体的LASr,LAScd和LASct显著更高 (p <0.05).
- T2DM患者表现出减少的LA储,管道和收缩应变.
- 在T2DM患者中,即使LAVI和LVMI正常,也观察到LA功能受损 (LASr,LAScd,LASct).
结论:
- 斑点跟踪回声心电图 (STE) 显示T2DM患者的LA储,导管和收缩功能降低.
- 在T2DM患者中,左心房中的这些功能缺陷在LAVI和LVMI无关的情况下仍然存在.
- T2DM显著影响LA功能,突出了对心血管风险评估的潜在领域.
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