心脂肪组织厚度和保存的喷射分数心力衰竭
Aneesh Dhore-Patil1, Daniela Urina-Jassir2, Rohan Samson3
1Division of Cardiovascular Imaging, Weill Cornell Medical College, Houston Methodist DeBakey Heart & Vascular Center, 6505 Fanin St., Houston, TX, 77030, USA.
Current hypertension reports
|April 20, 2024
概括
可通过心声回声学测量的心上脂肪厚度可能是患有肥胖症的心力衰竭患者中保留射出分数的关键指标. 它反映了内脏脂肪的积累和疾病的进展.
科学领域:
- 心脏病学 心脏病学
- 肥胖医学 肥胖医学
- 医疗成像医学成像
背景情况:
- 保存的喷射分数心力衰竭 (PEHF) 和肥胖经常同时存在.
- 肥胖在PEHF病变发生过程中的确切作用尚不清楚.
- 内脏脂肪是肥胖的关键病原性因素,但其评估不是常规的.
研究的目的:
- 审查高体重指数 (BMI) 的PEHF患者评估心上脂肪厚度 (EAT) 的理由.
- 探索EAT作为一种常规可用的成像标志物,用于与肥胖有关的心血管影响.
主要方法:
- 关于肥胖,PEHF,内脏脂肪和心表脂肪的现有文献的综述.
- 专注于基于心声回声的EAT评估.
主要成果:
- 体重指数 (BMI) 与内脏和心表脂肪度的相关性很差.
- 内脏和上心脂肪都随着PEHF进展而增加.
- EAT可能加速冠状动脉疾病,损害左心室透静功能和下内心 perfusion.
结论:
- 通过心声学评估的EAT对于肥胖的PEHF患者来说,比内脏脂肪更容易获得的标志物.
- 在这种患者群体中,EAT可以作为监测治疗反应的宝贵工具.
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