探索多变性心肌病的形态和功能变体:心声和多普勒检查
Kamil Stankowski1, Fabrizio Celeste1, Manuela Muratori1
1Department of Perioperative Cardiology and Cardiovascular Imaging, Centro Cardiologico Monzino IRCCS, Via C. Parea 4, 20138 Milan, Italy.
Diagnostics (Basel, Switzerland)
|November 13, 2025
概括
心声学是诊断和监测高性心肌病 (HCM) 的关键. 本综述详细评估了各种HCM表型和相关的解剖变异,使用心声回声学进行准确的诊断和管理.
科学领域:
- 心脏病学 心脏病学
- 医疗成像医学成像
- 遗传学 遗传学 是一个
背景情况:
- 增高性心肌病变 (HCM) 是一种心肌疾病,表现各异.
- 心声图是HCM的主要诊断工具.
- 了解HCM表型对于有效管理至关重要.
研究的目的:
- 审查对各种HCM形态表型的回声心脏学评估.
- 为了突出诊断细微差别和HCM的成像挑战.
- 检查有助于HCM表型和阻塞的解剖变异.
主要方法:
- 对HCM的心声回声评估技术的集中审查.
- 分析不同的HCM表型 (例如,不对称的隔膜,同心,顶点).
- 评估左心室垂动脉瘤流动,心室内梯度和心心膜解剖学.
主要成果:
- 心声学可以有效地识别各种HCM表型.
- 具体的技术对于评估动态梯度和流动模式至关重要.
- 中心的解剖学和变体显著影响阻塞和HCM表达.
结论:
- 综合性心声回声学对于诊断和分层HCM至关重要.
- 识别多样化的表型和解剖变异可以提高诊断准确度.
- 心声学指导在HCM患者的纵向监测和风险分层.
相关概念视频
Cardiomyopathy III: Hypertrophic Cardiomyopathy
380
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...
380
Cardiomyopathy I: Introduction and Classification
488
Cardiomyopathy, or CMP, is a group of diseases affecting the myocardial structure, impairing its ability to pump blood effectively. This condition can lead to arrhythmias, heart failure, or sudden cardiac death.Cardiomyopathies are classified into primary and secondary categories:Primary Cardiomyopathy refers to conditions involving only the heart muscle that are often idiopathic (of unknown cause) or genetic. They primarily affect the myocardium without the involvement of other systemic...
488
Heart Failure II: Pathophysiology
695
Systolic Heart Failure and Compensatory MechanismsSystolic heart failure (also termed HFrEF, Heart Failure with Reduced Ejection Fraction) is the most prevalent type of heart filure. It results in a decreased volume of blood being pumped from the ventricle. The aortic arch and carotid sinuses have baroreceptors that detect reduced blood pressure, triggering the sympathetic nervous system (SNS) to release epinephrine and norepinephrine. Initially, this response aims to boost heart rate and...
695
Cardiomyopathy II: Dilated Cardiomyopathy
451
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,...
451
Mitral Stenosis II: Clinical features and Diagnostic Tests
206
Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
206
Pathophysiology of Heart Failure
2.7K
Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
2.7K


