在肝硬化患者中对右心室功能进行心声评估
Augustine A Enenche1,2, Anthony G Kweki3, Henry O Aiwuyo4
1Internal Medicine, Jos University Teaching Hospital, Jos, NGA.
Cureus
|May 2, 2024
概括
肝硬化经常导致心脏问题,特别是右心室功能障碍. 这项研究发现,在这些患者中,缩和腹功能障碍的患病率很高,这突显了对心脏评估的需要.
科学领域:
- 心脏病学 心脏病学
- 肝病学 肝病学是一种肝病学.
- 内部医学 内部医学
背景情况:
- 肝硬化是慢性肝病的常见终点,导致显著的心血管发病率和死亡率.
- 心脏异常,特别是在右心室,可通过心脏回声学检测在肝硬化患者.
- 早期发现和治疗心脏功能障碍可以改善肝硬化患者的治疗结果.
研究的目的:
- 在肝硬化患者中确定右心室缩功能障碍的患病率.
- 确定肝硬化患者中右心室透静功能障碍的患病率.
主要方法:
- 一项基于医院的横截面研究,涉及210名成年肝硬化患者.
- 使用心声学和心电学来评估右心室功能.
- 数据收集发生在胃肠病学部门的一年时间.
主要成果:
- 在44.8%的参与者中观察到右心室缩,其中3.8%显示扩张.
- 在17.1% (TAPSE) 和51.4% (FAC) 的患者中检测到右心室缩功能障碍.
- 腹筋功能障碍在61%的患者中普遍存在,2级是最常见的.
结论:
- 在肝硬化患者中存在右心室缩性功能障碍的高患病率.
- 右心室透支功能障碍在肝硬化患者中也非常普遍.
- 这些发现强调了心脏评估在肝硬化管理中的重要性.
相关概念视频
01:26Imbalances in Cardiac Output
The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send blood...
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send blood...
01:25Assessment of the Cardiovascular System IV: Auscultation
Cardiac auscultation is a clinical skill used to assess heart function and detect abnormalities. It involves listening to heart sounds at specific anatomical locations through a stethoscope.
Normal Heart Sounds
S1 (First Heart Sound)-
S1 is made by the closure of the mitral and tricuspid valves (atrioventricular valves), marking the beginning of systole.
S2 (Second Heart Sound)-
S2 is made by the closure of the aortic and pulmonic valves (semilunar valves), marking the end of the systole.
Normal Heart Sounds
S1 (First Heart Sound)-
S1 is made by the closure of the mitral and tricuspid valves (atrioventricular valves), marking the beginning of systole.
S2 (Second Heart Sound)-
S2 is made by the closure of the aortic and pulmonic valves (semilunar valves), marking the end of the systole.
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01:24Cardiac Catheterization III: Left Heart Catheterization
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