在患有库辛综合征的患者中,通过斑点追踪评估的左心室亚临床缩性心肌功能障碍
Jiewen Jin1, Wei He2, Rong Huang1
1Department of Endocrinology, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, China.
Endocrine
|July 29, 2024
概括
斑点跟踪回声心电图检测到库辛综合征中的亚临床心肌损伤. 全球纵向菌株 (GLS) 和左心室菌株 (LVSD) 与皮质醇水平相关,表明有可能监测疾病活动.
科学领域:
- 心脏病学 心脏病学
- 内分泌学 在内分泌学.
- 医疗成像医学成像
背景情况:
- 库辛综合征可能导致亚临床心肌功能障碍.
- 早期发现心肌损伤对于管理患者至关重要.
- 二维斑点跟踪回声心脏图 (STE) 为评估心肌功能提供了高灵敏度.
研究的目的:
- 评估STE在鉴定库辛综合征患者的亚临床心肌损伤方面的实用性.
- 评估心肌功能障碍与库辛综合征疾病活性之间的关系.
主要方法:
- 35名库辛综合征患者和29名健康对照人接受了常规和STE治疗.
- 根据皮质醇水平,患者被分为活跃 (n=28) 和不活跃 (n=7) 的疾病组.
- 相关性和回归分析探讨了影响心肌功能障碍的因素.
主要成果:
- 左心室喷射分数在各组之间没有差异.
- 全球纵向菌株 (GLS) 和左心室菌株 (LVSD) 在库辛综合征患者中显著受损.
- GLS和LVSD显示与疾病活动和24小时尿皮质醇水平有显著的反相关性.
结论:
- STE参数,GLS和LVSD,是库辛综合征中亚临床心肌缩功能障碍的敏感指标.
- 心肌损伤的严重程度与皮质醇水平线性相关.
- 这些发现表明,STE可以监测心肌变化并评估对治疗的反应.
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