为评估左心室结构和功能的斑点追踪应变心声学:美国心脏协会的科学声明
Circulation
|August 6, 2025
概括
通过斑点追踪心声学评估的全球纵向应变 (GLS) 对心脏病的诊断和预后价值比喷射分数更高. GLS可以更早地检测出亚临床功能障碍,并且具有很高的可重现性,从而提高了患者的治疗效果.
科学领域:
- 心脏病学
- 医学成像
- 心声检查
背景情况:
- 在心脏病管理中,左心室静脉功能评估至关重要.
- 传统的喷射分数方法有局限性,包括几何假设和读数可变性.
- 心肌纤维的复杂性挑战了传统的评估.
研究的目的:
- 检查斑点追踪心声学 (STE) 压力成像的原理和技术.
- 提供基于证据的对各种心血管疾病中的STE应用的审查.
- 探索STE在设备治疗中的实用性,并概述未来的方向.
主要方法:
- 使用 2D 斑点追踪回声学测量心肌张力在纵向,周围和半径平面.
- 将全球纵向应变 (GLS) 的诊断和预后值与射出分数进行比较.
- 审查现有的关于 STE 应用和潜在的未来用途的文献.
主要成果:
- 全球纵向应变 (GLS) 显示出优越的诊断和预后能力.
- 在喷射分数下降之前,GLS具有很高的可重现性,可以检测亚临床心脏功能障碍.
- 作为一种生物标志物,STE具有渐进的预后和治疗价值.
结论:
- 斑点追踪心声学,特别是GLS,在评估左心室缩功能方面取得了重大进展.
- 与传统方法相比, 心脏健康和疾病的洞察力更强.
- 将GLS纳入临床实践有望改善患者的治疗结果和治疗策略.
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