区域左心室力学在多变性心肌病的区域性心肌病
S Betocchi1, O M Hess, M A Losi
1Division of Cardiology, University Hospital, Zürich, Switzerland.
Circulation
|November 1, 1993
概括
过度缩放性心肌病症中的透支功能障碍源于非均性和过度缩放性,导致放松功能受损和硬度增加. 墙壁运动的区域差异导致左心室异能.
科学领域:
- 心脏病学 心脏病学
- 心血管生理学心血管生理学
- 生物医学工程 生物医学工程
背景情况:
- 扩张功能受到心脏内部不均的显著影响.
- 超性心肌病 (HCM) 涉及超,异常的处理和区域性缺血,进一步影响透缩功能.
研究的目的:
- 在被诊断为患有多变性心肌病的患者中调查区域力学,异步和异能.
- 评估非均性对HCM中透析功能的影响.
主要方法:
- 在22名HCM患者和9名对照人群中采用双飞机左心室摄影和高准确度压力跟踪.
- 通过分析区域时间间隔和面积缩小来量化区域力学,缩/放缩异步和异能.
- 通过使用室度的区域常数来评估被动室度.
主要成果:
- 患有HCM的患者表现出长时间的异体放松 (101毫秒相对于对照组的51毫秒) 和硬度增加 (0.056毫升-1相对于照组的0.025毫升-1).
- 在HCM患者中观察到显著的静缩和静缩异步和异能.
- 区域分析显示,自由壁的高运动和正常运动,隔膜的度增加.
结论:
- 在HCM中,腹筋功能障碍是由于不均和过度缩,导致放松功能受损和硬度升高.
- 在HCM中表现出明显肌病性过程的区域显示正常的壁面运动,但增加了硬度.
- 不均的区域壁运动,以相邻的高动力和正常动力区域为特征,导致左心室异能.
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