通过床边心声扫描测量中枢血压的可行性:一项观察性横截面研究
Mohammed Salah Hussein1, Maged Z Amer1, Mohammed K Kabil1
1Department of Cardiology, Faculty of Medicine, Mansoura University, Egypt (M.S.H., M.Z.A., M.K.K.).
Academic radiology
|December 20, 2024
概括
中央大动脉压力可以使用多普勒心声回声学进行非侵入性测量. 这种方法与侵入性测量有很好的相关性,为心血管疾病评估提供了一个有希望的,具有成本效益的替代方案.
科学领域:
- 心血管医学 心血管医学
- 诊断成像 诊断成像 诊断成像
- 生物医学工程 生物医学工程
背景情况:
- 与外围血压相比,中枢动脉血压 (CBP) 是心血管疾病的优越预后标志物.
- 通过导管测量侵入性中央大动脉压力测量具有风险,成本和时间负担.
研究的目的:
- 评估使用多普勒回声心脏学方法对中央大动脉压力的非侵入性测量.
- 为了确定心声回声学参数和侵入性中央大动脉压力测量之间的相关性.
主要方法:
- 接受选择性心脏导管治疗的118名患者同时接受过胸前心脏回声扫描.
- 侵入性中央大动脉压力与大动脉减速时间和速度时间积分 (VTI) 等心声学参数同时测量.
主要成果:
- 在侵入性静脉缩,静脉缩和平均大动脉压力以及大动脉减速时间 (P<0.0003) 和VTI (P<0.006) 之间发现了显著的相关性.
- 开发了一种可靠的方程来计算使用 transthoracic 大动脉减速时间的平均或透气中心血压.
结论:
- 中枢大动脉压力可以通过多普勒回声心脏学准确估计,使用诸如左心室质量 (LVM),大动脉减速时间和VTI等参数.
- 这种非侵入性技术为心血管评估提供了一种有希望的,可能更容易获得的和具有成本效益的方法.
相关概念视频
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01:21Sites for measruring blood pressure
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01:30Equipments Used To Measure Blood Pressure
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01:17Measurement of Blood Pressure
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