在患有慢性脏疾病的患者中对右心室缩功能进行心声评估
Abdallah Elsayed Abuelfotoh1, Hanan K Kassem1, Suzan B Alhefnawy1
1Department of Cardiovascular Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt.
Journal of cardiovascular echography
|September 15, 2025
概括
在慢性病 (CKD) 患者中,右心室缩功能受损,特别是那些患有晚期CKD或血液透析 (HD) 患者. 肺高血压很常见,与右心室功能减弱相关.
科学领域:
- 心脏病学 心脏病学
- 腎臟病學 (nephrology) 是一種醫學專業.
- 心声回声图 (Echocardiography) 是一种心声回声图.
背景情况:
- 肺高血压 (HTN) 在慢性病中很常见,但右心室 (RV) 衰竭的发展尚未研究.
- 慢性病 (CKD) 影响心血管健康,需要评估RV功能.
研究的目的:
- 通过心声学评估慢性功能障碍患者的RV功能.
- 调查病严重程度与RV功能之间的关系.
主要方法:
- 100名年龄大于18岁的参与者分为四组:CKD第4期和第5期,血液透析末期脏疾病 (HD) 和健康的对照组.
- 通过常规心声回声和组织多普勒成像来评估RV系统功能,测量RV基底直径和RV三状环状平面系统外流 (RV TAPSE) 等参数.
主要成果:
- 与对照组相比,CKD第5期和HD组的RV基底直径显著更高.
- 较低的RV TAPSE和RV组织多普勒S'在CKD第5阶段,与HD和对照组相比.
- 在22%的病患者中检测到肺性HTN,在HD组中患病率更高;eGFR和RV功能参数之间的正相关性.
结论:
- 血液透析患者表现出比CKD5期患者更好的VR静脉缩指数.
- 肺性HTN在CKD各个阶段都很普遍,特别是在HD患者中更高,影响VR功能.
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