心声图和心脏核磁共振参数之间的差异在患有双主动脉相关主动脉病的儿童中
Stasa Krasic1,2, Boris Zec3, Vesna Topic4
1Cardiology Department, Mother and Child Health Institute of Serbia, Belgrade, Serbia.
Frontiers in cardiovascular medicine
|December 11, 2024
概括
双主动脉 (BAV) 患者经常发生主动脉病. 心声谱和心磁共振 (CMR) 在BAV评估中显示出差异,但相对相关性适度,突出显示在患者随访中需要两者.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 遗传性心脏病是一种先天性心脏病.
背景情况:
- 双动脉 (BAV) 是最常见的先天性心脏缺陷.
- BAV经常与主动动脉损伤有关,受门功能障碍和形态型的影响.
研究的目的:
- 为了比较心声回声和心磁共振 (CMR) 在BAV患者的发现.
- 定义与BAV功能障碍和大关节病相关的风险.
主要方法:
- 50名BAV患者 (平均年龄13.6岁) 的回顾性研究.
- 患者在2012年至2020年期间接受过胸前心电回声和CMR.
主要成果:
- 在BAV类型评估中观察到心声回声和CMR之间的显著差异 (p=0.013).
- 动脉瘤发病率很高 (76%的回声,78%的CMR),重度扩张在CMR上更常见 (54%对38%).
- 在方法之间发现了中等的相关性,Bland-Altman分析显示了95%的一致性.
结论:
- 心声和CMR显示在评估BAV形态和功能障碍方面存在显著差异.
- 中度至强度的相关性表明,这两种非侵入性方法对于BAV患者的随访的重要性.
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