mitra 门更换与 mitra 门维修. 一个多普勒和定量压力心电回声学研究
M D Tischler1, K A Cooper, M Rowen
1Cardiology Unit, Medical Center Hospital of Vermont, Burlington 05401.
Circulation
|January 1, 1994
概括
mitra 门修复 (MVP) 在运动期间比 mitra 门更换 (MVR) 更好地保持射出分数. MVP减少了末缩压力,在手术后保持了更好的心室功能.
科学领域:
- 心血管外科心血管外科
- 心脏生理学 心脏生理学
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 标准的 mitra 置换 (MVR) 降低了慢性 mitra 吐患者的静止喷射分数.
- 中枢修复 (MVP) 不会减少静止喷射率.
- MVP对运动期间左心室动态表现的影响尚不清楚.
研究的目的:
- 直接比较标准的MVR与MVP.
- 为了确定MVR与MVP在自行车运动期间对心室喷射性能的影响.
主要方法:
- 10名接受MVP治疗的患者和10名接受MVR治疗的患者因慢性额头肌吐而匹配.
- 症状有限,分级直立自行车运动.
- 同时多普勒和定量二维心声回声学.
主要成果:
- 与MVR患者相比,MVP患者的休息和运动喷射分数明显大.
- 在MVP患者中,静止和峰值运动时,末缩周围壁应力显著降低.
- 左心室形状在MVR患者在运动高峰时更为球形.
结论:
- 带有弦切口的MVR显著减少了休息和炼喷射率,这是由于末缩壁应力增加.
- MVP通过减少末缩应力和保持圆形腔体的几何形状来改善休息和运动喷射指数.
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