在巴洛氏病中,心脏左侧腔室的结构和功能异常没有显著的 mitrale 吐
Maria Chiara Meucci1,2, Valentina Mantegazza3,4, Hoi W Wu1
1Department of Cardiology, Leiden University Medical Center, Albinusdreef 2, 2300 RC Leiden, The Netherlands.
European heart journal. Cardiovascular Imaging
|May 6, 2024
概括
没有显著的额头腔吐的巴洛氏病患者显示左心室和心房早期重塑. 奇特的左心室缩, mitra annular disjunction 和 mitra 排泄的严重程度预测疾病的进展.
科学领域:
- 心脏病学 心脏病学
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
- 心脏成像 - - 心脏成像
背景情况:
- 巴洛病 (Barlow's disease,简称BD) 是一种主要的状膜疾病.
- 在BD中早期发现心脏异常对于预测疾病进展至关重要.
- 副回 (MR) 的严重程度是BD管理的关键因素.
研究的目的:
- 评估没有显著MR的BD患者的左心室 (LV) 和左心房 (LA) 异常.
- 确定这些异常是否预测了未来的MR进展.
主要方法:
- 追溯分析231名BD患者和匹配的对照.
- 使用了常规和斑点跟踪回声心脏学.
- 随访心声图评估了MR的进展.
主要成果:
- 与对照组相比,BD患者的LV尺寸,LV质量和LA体积增加.
- 在BD患者中,古怪的LV超 (eLVH) 较为普遍.
- 在BD患者中观察到LA储菌株的减少.
- 在51名患者中发生了MR进展.
- 年龄,eLVH,轻度至中度MR和环断节 (MAD) 预测了MR的进展.
结论:
- 没有显著MR的BD患者显示早期LV和LA重塑和减少LA菌株.
- MR 进展与异常 LV 重塑,MAD 和 MR 严重程度有关.
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