袖口血压测量期间的时间和患者位置会影响心肌工作参数,通过心声回声仪测量
Samantha Fisicaro1, Alexandra Clement2, Michele Tomaselli1
1Department of Cardiology, Istituto Auxologico Italiano, IRCCS, Milan, Italy.
概括
血压测量时间和心声回声学期间的患者位置显著影响心肌工作计算. 标准化这些因素对于准确的非侵入性评估心脏功能至关重要.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 生理学 生理学 生理学
背景情况:
- 袖口血压测量对于非侵入性心肌工作计算至关重要.
- 在心声回声学期间测量血压的标准化协议的缺乏构成了挑战.
研究的目的:
- 研究心声回声学测量时间和患者定位对袖口血压读数的影响.
- 评估这些变化如何影响心肌工作参数计算.
主要方法:
- 预计将招募101名接受心声回声扫描的患者.
- 袖口血压被测量了四次:在研究之前,在横向部定位期间,在获得顶点视图期间和研究后.
- 用两只手臂上的自动数字显示器进行测量.
主要成果:
- 系统性血压在测量点之间显著下降 (BP1到BP2,BP2到BP3,BP1到BP4).
- 肌肉心脏工作参数,如全球工作指数,在每个血压测量点都有显著的变化.
- 全球纵向应变的平均值为-16%±3%.
结论:
- 测量时间和心声回声学期间的患者位置极大地影响了袖口血压.
- 这些因素直接影响心肌工作参数的计算值.
- 血压测量协议的标准化是可靠的心肌工作评估的建议.
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