在对埃布斯坦异常进行达席尔瓦形手术后,心脏MRI预测右心室功能障碍
Tarek Alsaied1, Carlos Diaz Castrillon2,3, Adam Christopher1
1Heart Institute, UPMC Children's Hospital of Pittsburgh, Division of Pediatric Cardiology, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
International journal of cardiology. Congenital heart disease
|December 23, 2024
概括
右心室功能障碍 (RVD) 在埃布斯坦异常的圆手术后很常见,往往需要增加内支持. 关键预测因素包括较低的手术前RV射出分数和更严重的三管异常.
科学领域:
- 心脏病学 心脏病学
- 生产性心脏病 手术 手术 生产性心脏病
背景情况:
- 圆手术是对埃布斯坦异常的关键治疗方法.
- 手术后的右心室 (RV) 功能障碍是常见的并发症,具有潜在的长期影响.
研究的目的:
- 为了确定RV功能障碍 (RVD) 的预测因子.
- 评估手术前心磁共振 (CMR) 在预测RVD方面的实用性.
主要方法:
- 对26名接受形手术的患者进行了回顾性审查.
- 对中度至重度RVD患者与在出院时没有或轻度RVD患者的比较.
主要成果:
- 在69%的患者中存在RVD.
- 预测RVD的预测因素包括较低的手术前RV射出分数,较大的心胸指数和更严重的三管异常 (旋转和位移).
- RVD与较高的血管活性无otropic 评分和更长的ICU 停留趋势相关.
结论:
- 圆手术后RVD普遍存在,并且与术后内的需求增加有关.
- 手术前的CMR对于识别患有RVD风险的患者是有价值的.
- 较低的RV喷射分数,心脏扩张和严重的三管问题预测RVD.
更多相关视频
10:33Assessment of Right Ventricular Structure and Function in Mouse Model of Pulmonary Artery Constriction by Transthoracic Echocardiography
Published on: February 3, 2014
27.6K
09:40Induction of Right Ventricular Failure by Pulmonary Artery Constriction and Evaluation of Right Ventricular Function in Mice
Published on: May 13, 2019
10.5K
相关概念视频
01:20Imaging Studies for Cardiovascular System III: X-Ray
142
The most common cardiovascular diagnostic test is an X-ray. It produces images of the heart, blood vessels, and adjacent structures.
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
Definition and Purpose
An X-ray, or radiograph, is a non-invasive method that uses ionizing radiation to take images of internal structures. It is mainly used in cardiac imaging to examine the heart, lungs, and major blood vessels, aiming to identify abnormalities in the heart's size, shape, and position, such as heart failure, congenital defects, and vascular...
142
01:21Imaging Studies for Cardiovascular System IV: CMRI
4
Cardiovascular magnetic resonance imaging, or CMRI, is a non-invasive diagnostic test that employs a magnetic field and radiofrequency waves to create precise images of the heart and arteries. It provides comprehensive information about cardiac anatomy, function, perfusion, and tissue characterization without ionizing radiation.IndicationsCMRI diagnoses various heart conditions, including tissue damage from heart attacks, ischemic heart disease, myocarditis, aortic issues (tears, aneurysms,...
4