实时超声心动图三维斑点追踪技术对肥厚型心肌病患者左室整体收缩功能及收缩同步性的评价应用探讨
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摘要
目的:探讨实时超声心动图三维斑点追踪技术对肥厚型心肌病患者左室整体收缩功能及收缩同步性的评价应用。方法:选取笔者所在医院在2017年8月-2018年9月进行治疗的肥厚型心肌病患者50例,作为研究组,选取在笔者所在医院进行体检的健康人群50例作为对照组。比较两组一般资料、左室GPAS与收缩同步性及左室整体应变参数。结果:两组左室舒张末内径、左室后壁厚度、LVEF比较差异均无统计学意义(P>0.05),研究组室间隔厚度大于对照组(P<0.05),研究组E/A小于对照组(P<0.05),研究组GPAS、A·Ts-sD、A-Max-Ts均高于对照组(P<0.05),研究组GCS、GRS与对照组比较差异均无统计学意义(P>0.05),研究组GAS、GLS低于对照组(P<0.05)。结论:肥厚型心肌病患者应用实时超声心动图三维斑点追踪技术能够有效地评价左室整体收缩功能及收缩同步性,为临床提供准确的信息。
Objective:To investigate the evaluation and application of real-time echocardiographic three-dimensional speckle tracking technology for the left ventricular systolic function and systolic synchronization in patients with hypertrophic cardiomyopathy.Method:From August 2017 to September 2018,50 patients with hypertrophic cardiomyopathy who were treated in our hospital were selected as the study group and 50 healthy people who underwent physical examination in our hospital were selected as the control group.General data,left ventricular GPAS and contractile synchronization and left ventricular overall strain parameters were compared between the two groups.Result:Two groups with left ventricular end-diastolic diameter,left ventricular posterior wall thickness,LVEF compared differences had no statistical significance(P>0.05),the team ventricular septal thickness in the study group was greater than the control group(P<0.05),the team E/A in the study group was less than the control group(P<0.05),the team GPAS,a·Ts-sD,A-Max-Ts in the study group were higher than control group(P<0.05),the team GCS,the difference of GRS in the study group compared with the control group had no statistical significance(P>0.05),the team GAS,GLS in the study group were lower than the control group(P<0.05).Conclusion:Real-time echocardiographic three-dimensional spot tracking technique can effectively evaluate the whole contractile function and contractile synchronization of the left ventricle in patients with hypertrophic cardiomyopathy and provide accurate clinical information.
Objective:To investigate the evaluation and application of real-time echocardiographic three-dimensional speckle tracking technology for the left ventricular systolic function and systolic synchronization in patients with hypertrophic cardiomyopathy.Method:From August 2017 to September 2018,50 patients with hypertrophic cardiomyopathy who were treated in our hospital were selected as the study group and 50 healthy people who underwent physical examination in our hospital were selected as the control group.General data,left ventricular GPAS and contractile synchronization and left ventricular overall strain parameters were compared between the two groups.Result:Two groups with left ventricular end-diastolic diameter,left ventricular posterior wall thickness,LVEF compared differences had no statistical significance(P>0.05),the team ventricular septal thickness in the study group was greater than the control group(P<0.05),the team E/A in the study group was less than the control group(P<0.05),the team GPAS,a·Ts-sD,A-Max-Ts in the study group were higher than control group(P<0.05),the team GCS,the difference of GRS in the study group compared with the control group had no statistical significance(P>0.05),the team GAS,GLS in the study group were lower than the control group(P<0.05).Conclusion:Real-time echocardiographic three-dimensional spot tracking technique can effectively evaluate the whole contractile function and contractile synchronization of the left ventricle in patients with hypertrophic cardiomyopathy and provide accurate clinical information.
引文
[1]李静,刘丽文,纳丽莎,等.三维斑点追踪技术评价MYBPC3基因突变所致家族性肥厚型心肌病患者左室收缩功能的早期改变[J].中国超声医学杂志,2016,32(8):707-710.
[2] Geneviève Giraldeau,Duchateau N,Bijnens B,et al.Dyssynchronization reduces dynamic obstruction without affecting systolic function in patients with hypertrophic obstructive cardiomyopathy:a pilot study[J].International Journal of Cardiovascular Imaging,2016,32(8):1-10.
[3]刘缨,雷常慧,刘丽文,等.三维斑点追踪技术评价MYH7His1717Gln基因突变所致家族性肥厚型心肌病患者左室早期局部收缩功能[J].中国超声医学杂志,2016,32(2):147-150.
[4]张小花,姜志荣,孙安华,等.实时三维超声心动图和二维斑点追踪技术对冠心病患者左心室收缩同步性的评价[J].中国超声医学杂志,2016,32(10):901-904.
[5] Kim J H,Baggish A L.Differentiating Exercise-induced cardiac adaptationsfromcardiacpathology:the “GreyZone”ofclinical uncertainty[J].Canadian Journal of Cardiology,2016,32(4):429-437.
[6] Kenworthy W,Guha K,Sharma R.The patient with left ventricular systolic dysfunction now and in the future[J].British Journal of Hospital Medicine,2016,77(9):516-522.
[7]姜艳娜,黄朴忠,李焱,等.三维斑点追踪技术评价甲状腺功能亢进患者131I治疗前后左心室收缩功能[J].中国医学影像学杂志,2016,24(7):504-507.
[8]张瑞芳,刘海艳,赵丽娟,等.超声三维斑点追踪成像评价系统性红斑狼疮左心室整体收缩功能[J].中国医学影像技术,2016,32(2):254-257.
[9] Slavich M,Maranta F,Fumero A,et al.Long-term preservation of left ventricular systolic function in patients with refractory angina pectoris and inducible myocardial ischemia on optimal medical therapy[J].American Journal of Cardiology,2016,117(10):1558-1561.
[10]许丹,刘丽文,王玉,等.三维斑点追踪技术对家族性肥厚型心肌病基因突变携带者的早期识别[J].中华超声影像学杂志,2016,25(10):834-839.
[11]付建莉,张军,刘丽文,等.二维斑点追踪成像评价改良Morrow术后肥厚型心肌病患者左心室收缩功能的短期改变[J].中华超声影像学杂志,2017,26(2):98-102.
[12] Ji L,Hu W,Yong Y,et al.Left ventricular energy loss and wall shear stress assessed by vector flow mapping in patients with hypertrophic cardiomyopathy[J].The International Journal of Cardiovascular Imaging,2018,34(9):1383-1391.
[13] Hashimoto I,Watanabe K.Z-score of mitral annular plane systolic excursion is a useful indicator of evaluation of left ventricular function in patients with acute-phase Kawasaki disease[J].Pediatric Cardiology,2017,38(5):1057-1064.
[14]赵丹,刘丽文,纳丽莎,等.三维斑点追踪技术评价家族性肥厚型心肌病MYBPC3基因突变携带者左心室功能的早期改变[J].中国超声医学杂志,2017,33(9):783-786.
[15]张晶,宋光,任卫东.二维斑点追踪成像技术评价不同原因引起左心室肥厚的疾病左室纵向应变[J].中国超声医学杂志,2016,32(7):603-607.
[16] Murashita T,Schaff H V,Suri R M,et al.Impact of left ventricular systolic function on outcome of correction of chronic severe aortic valve regurgitation:implications for timing of surgical intervention[J].Annals of Thoracic Surgery,2016,103(4):1222-1228.
[17]赵翠婷,孟平平,王永槐,等.二维斑点追踪技术评价肥厚型心肌病合并左心室心尖部室壁瘤1例[J].中国医学影像技术,2017,33(12):1921-1922.
[18]丁钱山,张平洋,李林,等.三维斑点追踪技术评价射血分数正常的重度主动脉瓣狭窄患者左室心肌收缩特性[J].中国超声医学杂志,2017,33(2):128-131.
[19]吴芳芳,王玲,陈剑琼,等.三维斑点追踪技术联合血清肌钙蛋白评价蒽环类药物化疗后乳腺癌患者左心室收缩功能的改变[J].安徽医科大学学报,2018,21(1):114-118.
[20]FattahC,NatherK,MccarrollCS,etal.Genetherapywith Angiotensin-(1-9)preserves left ventricular systolic function after myocardial infarction[J].Journal of the American College of Cardiology,2016,68(24):2652-2666.
[2] Geneviève Giraldeau,Duchateau N,Bijnens B,et al.Dyssynchronization reduces dynamic obstruction without affecting systolic function in patients with hypertrophic obstructive cardiomyopathy:a pilot study[J].International Journal of Cardiovascular Imaging,2016,32(8):1-10.
[3]刘缨,雷常慧,刘丽文,等.三维斑点追踪技术评价MYH7His1717Gln基因突变所致家族性肥厚型心肌病患者左室早期局部收缩功能[J].中国超声医学杂志,2016,32(2):147-150.
[4]张小花,姜志荣,孙安华,等.实时三维超声心动图和二维斑点追踪技术对冠心病患者左心室收缩同步性的评价[J].中国超声医学杂志,2016,32(10):901-904.
[5] Kim J H,Baggish A L.Differentiating Exercise-induced cardiac adaptationsfromcardiacpathology:the “GreyZone”ofclinical uncertainty[J].Canadian Journal of Cardiology,2016,32(4):429-437.
[6] Kenworthy W,Guha K,Sharma R.The patient with left ventricular systolic dysfunction now and in the future[J].British Journal of Hospital Medicine,2016,77(9):516-522.
[7]姜艳娜,黄朴忠,李焱,等.三维斑点追踪技术评价甲状腺功能亢进患者131I治疗前后左心室收缩功能[J].中国医学影像学杂志,2016,24(7):504-507.
[8]张瑞芳,刘海艳,赵丽娟,等.超声三维斑点追踪成像评价系统性红斑狼疮左心室整体收缩功能[J].中国医学影像技术,2016,32(2):254-257.
[9] Slavich M,Maranta F,Fumero A,et al.Long-term preservation of left ventricular systolic function in patients with refractory angina pectoris and inducible myocardial ischemia on optimal medical therapy[J].American Journal of Cardiology,2016,117(10):1558-1561.
[10]许丹,刘丽文,王玉,等.三维斑点追踪技术对家族性肥厚型心肌病基因突变携带者的早期识别[J].中华超声影像学杂志,2016,25(10):834-839.
[11]付建莉,张军,刘丽文,等.二维斑点追踪成像评价改良Morrow术后肥厚型心肌病患者左心室收缩功能的短期改变[J].中华超声影像学杂志,2017,26(2):98-102.
[12] Ji L,Hu W,Yong Y,et al.Left ventricular energy loss and wall shear stress assessed by vector flow mapping in patients with hypertrophic cardiomyopathy[J].The International Journal of Cardiovascular Imaging,2018,34(9):1383-1391.
[13] Hashimoto I,Watanabe K.Z-score of mitral annular plane systolic excursion is a useful indicator of evaluation of left ventricular function in patients with acute-phase Kawasaki disease[J].Pediatric Cardiology,2017,38(5):1057-1064.
[14]赵丹,刘丽文,纳丽莎,等.三维斑点追踪技术评价家族性肥厚型心肌病MYBPC3基因突变携带者左心室功能的早期改变[J].中国超声医学杂志,2017,33(9):783-786.
[15]张晶,宋光,任卫东.二维斑点追踪成像技术评价不同原因引起左心室肥厚的疾病左室纵向应变[J].中国超声医学杂志,2016,32(7):603-607.
[16] Murashita T,Schaff H V,Suri R M,et al.Impact of left ventricular systolic function on outcome of correction of chronic severe aortic valve regurgitation:implications for timing of surgical intervention[J].Annals of Thoracic Surgery,2016,103(4):1222-1228.
[17]赵翠婷,孟平平,王永槐,等.二维斑点追踪技术评价肥厚型心肌病合并左心室心尖部室壁瘤1例[J].中国医学影像技术,2017,33(12):1921-1922.
[18]丁钱山,张平洋,李林,等.三维斑点追踪技术评价射血分数正常的重度主动脉瓣狭窄患者左室心肌收缩特性[J].中国超声医学杂志,2017,33(2):128-131.
[19]吴芳芳,王玲,陈剑琼,等.三维斑点追踪技术联合血清肌钙蛋白评价蒽环类药物化疗后乳腺癌患者左心室收缩功能的改变[J].安徽医科大学学报,2018,21(1):114-118.
[20]FattahC,NatherK,MccarrollCS,etal.Genetherapywith Angiotensin-(1-9)preserves left ventricular systolic function after myocardial infarction[J].Journal of the American College of Cardiology,2016,68(24):2652-2666.