在Kawasaki病中通过二维全球纵向缩菌株与自动功能成像自动化功能成像来评估左心室功能
Ehsan Aghaei Moghadam1, Maryam Taraz1, Aliakbar Zeinaloo1
1Cardiology Division, Pediatric Department, Children's Medical Center (Pediatric Center of Excellence), Tehran University of Medical Sciences, No. 346, Keshavarz Blvd, Tehran, 14188, Iran.
概括
应变回声心脏学揭示了川崎病后儿童持续的下内心干扰. 这种先进的成像技术有助于检测无症状患者的微妙心脏变化,指导有效的管理和后续护理.
科学领域:
- 儿童心脏病学 儿童心脏病学
- 心血管成像 - 心血管成像
- 类风湿病学 类风湿病学
背景情况:
- 川崎病是一种影响幼儿的急性发烧性血管炎,可能导致心脏功能下降.
- 在急性川崎病后,心下干扰可能会持续,通常不会被标准的M模式心声学检测到.
- 应变心力回声学提供了一种新的方法来评估心肌变形和心下内脏变化.
研究的目的:
- 为了评估分层的左心室功能使用压力回声心脏成像在儿童有史以来的川崎病.
- 通过使用二维斑点追踪成像来评估急性川崎病后至少六个月内心下部干扰.
- 为了比较具有和没有川崎病史的儿童之间的全球纵向峰值缩应变 (GLPS).
主要方法:
- 使用二维斑点追踪成像来评估GLPS.
- 这项研究包括27名健康儿童和27名有川崎病史 (6个月以上) 的儿童.
- 采用自动化功能成像技术进行数据采集.
主要成果:
- 虽然M模式回声心电图显示了两组正常的射出分数,但应变回声心电图显示了显著的差异.
- 与对照组相比,在有川崎病史的男孩中,全球纵向峰值应变 (GLPS) 显著较低 (P=0.008).
- 特定的心脏部分,特别是由左环动脉供应的部分,在两组之间的应变中显示出显著的差异.
结论:
- 应变回声心电图是有效的检测持久的子内心干扰在无症状的儿童与川崎病史.
- 这种技术可以更好地了解这些患者的长期心脏状况.
- 早期发现微妙的心肌变化对于有效管理和随访Kawasaki病幸存者至关重要.
相关概念视频
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