在急性肺栓塞中,右心室纵向应变相关指数
Ioannis Tzourtzos1, Lampros Lakkas2, Christos S Katsouras3,4
1Second Department of Cardiology, University Hospital of Ioannina, 455 00 Ioannina, Greece.
Medicina (Kaunas, Lithuania)
|October 26, 2024
概括
二维斑点跟踪回声心电图 (2DSTE) 在预测肺栓塞 (PE) 患者的死亡率方面表现有前途. RV菌株指数,特别是RV无壁菌株,可能有助于诊断PE和评估患者的结果.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 肺部病理学 肺部病理学
背景情况:
- 肺栓塞 (PE) 是致病率和死亡率的重要原因.
- 临床参数用于死亡率预测,但回声心电图右心室 (RV) 功能障碍表明结果更差.
- 二维斑点跟踪回声心脏图 (2DSTE) 已成为评估PE的RV功能的一种工具.
研究的目的:
- 综合审查和总结关于在急性PE中使用2DSTE衍生指数的研究.
- 评估2DSTE参数与PE患者死亡率之间的相关性.
- 评估2DSTE在PE差异诊断中的实用性.
主要方法:
- 对过去二十年发表的研究进行系统的文献综述.
- 对各种2DSTE衍生的参数进行分析,重点关注RV菌株指数.
- 检查在审查的研究中作为终点使用的不同临床结果.
主要成果:
- 尽管研究在设计,参数和终点方面的异质性,但RV菌株指数显示出希望.
- 免RV壁的区域纵向应变经常与死亡率有关.
- 2DSTE衍生指数可以帮助区分PE与其他急性或慢性疾病.
结论:
- 2DSTE衍生的RV菌株指数,特别是RV无壁菌株,显示出与PE的死亡率有前景的相关性.
- 这些指数可能有助于对PE的差异诊断.
- 由于现有研究的异质性,需要进一步的标准化和验证.
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