肌性缩症患者心脏功能的心声图评估 - 观察到右心室功能障碍吗? 一个学术中心的经验
Olga Zdończyk1, Katarzyna Kurnicka2, Anna Łusakowska3
1Department of Internal Medicine and Cardiology, Medical University of Warsaw, Warsaw, Poland.
Neurologia i neurochirurgia polska
|September 22, 2025
概括
右心室缩功能在肌性缩症 (DM) 患者中受损,特别是那些患有DM类型1的患者. 这项研究强调了需要在DM患者中进行全面的心脏监测.
科学领域:
- 心脏病学 心脏病学
- 遗传学 是一个遗传学.
- 神经学 神经学
背景情况:
- 心脏并发症是肌性缩症 (DM) 发病率和死亡率的重要原因.
- 现有的关于DM患者右心室功能的数据有限.
- 这项研究调查了DM中心室功能的心声学参数.
研究的目的:
- 在DM患者中分析右心室和左心室功能的心声学参数.
- 为了比较DM患者和健康对照人群之间的腹腔功能.
- 评估DM中右心室和左心室功能障碍的患病率.
主要方法:
- 分析了83名DM患者和46名对照者的心声图.
- 冠状动脉疾病或显著的膜病变患者被排除在外.
- 评估了右心室和左心室的缩和透缩功能.
主要成果:
- 与对照组相比,DM患者的右心室缩功能受损 (TAPSE和RV S'较低).
- 1型DM患者比2型DM患者表现出更严重的右室功能障碍.
- 在DM患者中,左心室缩功能障碍的发生率低于右心室功能障碍.
结论:
- 在DM患者,特别是DM1患者中,右心室缩功能受损,无论疾病持续时间或并发症如何.
- 左心室缩功能障碍不太常见,但需要在更大的队列中进一步调查.
- 对DM患者来说,密切的心脏随访与两个心室的详细心声评估对DM患者至关重要.
更多相关视频
相关概念视频
Cardiomyopathy III: Hypertrophic Cardiomyopathy
414
Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
414
Cardiomyopathy II: Dilated Cardiomyopathy
480
Dilated cardiomyopathy, or DCM, is a progressive myocardial disorder characterized by ventricular chamber dilation and contractile dysfunction.EtiologyVarious factors can cause DCM, including hypertension and heavy alcohol intake, which contribute to the weakening and enlargement of the heart muscle. Viral infections, such as Coxsackievirus B, adenoviruses, and influenza, can lead to DCM by causing inflammation and damage to heart tissue. Certain chemotherapeutic agents, including daunorubicin,...
480
Cardiomyopathy IV: Restrictive Cardiomyopathy
461
Restrictive cardiomyopathy (RCM) is a rare heart muscle disease characterized by impaired ventricular filling due to stiffened ventricular walls, leading to significant diastolic dysfunction.EtiologyRestrictive cardiomyopathy can arise from both inherited and acquired diseases, many of which are systemic. It is categorized into four main types: infiltrative, storage, non-infiltrative, and endomyocardial diseases.Infiltrative diseases, such as amyloidosis, lead to RCM by depositing amyloid...
461
Imaging Studies for Cardiovascular System I:Echocardiography
731
Cardiac imaging studies encompass a wide range of noninvasive and minimally invasive techniques designed to visualize the heart's structure and function in detail. One such technique is echocardiography, which uses high-frequency ultrasound waves to produce detailed images of the heart, known as echocardiograms.
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
Indications: Echocardiography is utilized to diagnose heart failure, valve disorders, and myocardial infarction. It also assesses cardiac structures' size, shape, and motion,...
731
Rheumatic Heart Disease II: Clinical Manifestations and Diagnostic Studies
500
The key clinical manifestations of Rheumatic heart disease (RHD) include several distinct cardiac symptoms.Carditis, a hallmark of acute rheumatic fever, involves inflammation of the heart's endocardium, myocardium, and pericardium. Chronic RHD often results from recurrent episodes of carditis. Its symptoms include the following:Murmurs are caused by valvular damage, especially to the mitral and aortic valves. Mitral stenosis or regurgitation is common, with characteristic heart murmurs...
500


