在血液透析患者中的三维斑点跟踪回声心脏图
Serap Yadigar1, Gülümser Sevgin Halil2, Pınar Özdemir1
1Department of Nephrology, Kartal Dr. Lütfi Kırdar City Hospital, İstanbul, Turkey.
概括
慢性血液透析患者表现出心室张力受损,表明亚临床心脏功能障碍. 这些测量可以帮助在没有先前心脏病的患者中发现早期的心脏问题.
科学领域:
- 心脏病学 心脏病学
- 腎臟病學 (nephrology) 是一種醫學.
- 医疗成像医学成像
背景情况:
- 慢性血液透析可能会影响心脏功能,即使没有先前存在的心脏病.
- 亚临床心脏功能障碍是血液透析患者的一个担忧.
研究的目的:
- 调查心室应变参数是否可以检测血液透析患者的亚临床心脏功能障碍.
- 用应变测量评估血液透析患者的心脏功能.
主要方法:
- 47名血液透析患者 (年龄<65岁,接受治疗≥1年) 与29名健康对照进行了比较.
- 使用横心心回声仪测量全球纵向应变,右心室全球纵向应变和左心室扩张直径.
- 雇佣学生的t测试和曼-惠特尼U测试用于统计分析.
主要成果:
- 与对照组 (-22.1 ± 1.59) 相比,血液透析患者的全球纵向应变明显较低 (-13.2 ± 3.91).
- 在血液透析组中,右心室全球纵向应变和左心室透静直径也显著受损.
- 结果表明慢性血液透析患者的亚临床心脏功能障碍.
结论:
- 在没有心血管疾病史的慢性血液透析患者中,心室应变测量受损.
- 心室应变参数作为一种有价值的工具,用于早期检测血液透析患者的心脏功能障碍.
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