降低预加载,以揭示狭性心周炎的特征多普勒特征. 一个新的观察
J K Oh1, A J Tajik, C P Appleton
1Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, Minn 55905, USA.
Circulation
|February 18, 1997
概括
在收缩性心膜炎中,通过减少预加载,可以揭开 mitra E 速度的麻木呼吸变异. 降低左心室填充压力的操作揭示了多普勒心声谱的特征变化,有助于诊断.
科学领域:
- 心脏病学 心脏病学
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
- 医学诊断 医学诊断 医学诊断
背景情况:
- 狭窄性心膜炎的诊断依赖于多普勒心声扫描,该扫描显示了 mitra E 速度 (>= 25%) 的呼吸变化.
- 一部分患有收缩性心膜炎的患者表现出缩或缺失呼吸道变异,使诊断复杂化.
- 升高的左心房压力可能会掩盖典型的呼吸系统变化,需要进一步调查.
研究的目的:
- 为了确定预负载的减少是否可以揭露疑似收缩性心周炎的患者中中 E 速度的呼吸变化.
- 为了评估降低左心室填充压力的机动的有效性,揭示特征多普勒发现.
主要方法:
- 对12名经过手术确认的收缩性心膜炎患者的回顾性分析,以及在米特拉E速度的基线呼吸变化<25%.
- 重复多普勒回声心脏成像在执行预负荷减轻机动 (抬头倾斜或坐姿) 后进行.
- 在降低预负荷之前和之后,对肌E速度和呼吸变化的比较.
主要成果:
- 基线平均米特拉E速度显示了最小的呼吸变化 (5 +/- 7%).
- 在降低预负载后,观察到吸入性米特拉E速度显著下降 (0.61 +/- 0.13 m/s,P < .004).
- 呼吸道变化增加到32 +/- 28%,75%的患者达到>=25%的变化.
结论:
- 预负载减轻机动有效地揭示了在收缩性心周炎中,心中 E 速度的呼吸变化.
- 重复多普勒回声心电图在预负载减小后建议在初步发现不确定的情况下.
- 这种技术有助于在缺少典型的多普勒模式时诊断收缩性心膜炎.
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