心力衰竭患者超声心动图检查标准化的思考
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摘要
<正>心力衰竭(heart failure,HF)是各种心脏疾病的严重表现或晚期阶段,死亡率和再住院率居高不下,造成严重的公共卫生经济负担,是21世纪我国最重要的心血管疾病之一。对于HF,全面准确的诊断是患者有效治疗的前提和基础。根据《中国心力衰竭诊断和治疗指南2018》,HF的诊断和评估依赖于病史、体格检查、实验室检查、心脏影像学检查和功能检查,其中经胸超声心动图是评估心脏结构和功能的首选方法[1]。超声心动图检查可提供心脏结构和功能的
引文
[1] 中华医学会心血管病学分会心力衰竭学组,中国医师协会心力衰竭专业委员会,中华心血管病杂志编辑委员会.中国心力衰竭诊断和治疗指南2018 [J].中华心血管病杂志,2018,46(10):760-789.DOI:10.3760/cma.j.issn.0253-3758.2018.10.004.Heart failure group,Chinese Society of Cardiology,Heart failure committee,Chinese Medical Doctor Association,Editorial Board of Chinese Journal of Cardiology.2018 Chinese guideline of diagnosis and therapy for heart failure [J].Chin J Cardiol,2018,46(10):760-789.DOI:10.3760/cma.j.issn.0253-3758.2018.10.004.
[2] Lang RM,Badano LP,Mor-Avi V,et al.Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults:An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging [J].J Am Soc Echocardiogr,2015,28(1):1-39.DOI:10.1016/j.echo.2014.10.003.
[3] Mitchell C,Rahko PS,Blauwet LA,et al.Guidelines for Performing a Comprehensive Transthoracic Echocardiographic Examination in Adults:RecommendationsfromtheAmerican Society of Echocardiography [J].J Am Soc Echocardiogr,2019,32(1):1-64.DOI:10.1016/j.echo.2018.06.004.
[4] Porter TR,Mulvagh SL,Abdelmoneim SS,et al.Clinical Applications of Ultrasonic Enhancing Agents in Echocardiography:2018 American Society of Echocardiography Guidelines Update [J].J Am Soc Echocardiogr,2018,31(3):241-274.DOI:10.1016/j.echo.2017.11.013.
[5] 齐欣.超声心动图测量LVEF的方法及结果判读 [J].中华心脏与心律电子杂志,2017,5(2):77-80.DOI:10.3877/cma.j.issn.2095-6568.2017.02.004.Qi X.Method and interpretation of left ventricular ejection fraction assessed by echocardiography [J].Chin J Heart & Heart Rhythm (Electronic Edition),2017,5(2):77-80.DOI:10.3877/cma.j.issn.2095-6568.2017.02.004.
[2] Lang RM,Badano LP,Mor-Avi V,et al.Recommendations for Cardiac Chamber Quantification by Echocardiography in Adults:An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging [J].J Am Soc Echocardiogr,2015,28(1):1-39.DOI:10.1016/j.echo.2014.10.003.
[3] Mitchell C,Rahko PS,Blauwet LA,et al.Guidelines for Performing a Comprehensive Transthoracic Echocardiographic Examination in Adults:RecommendationsfromtheAmerican Society of Echocardiography [J].J Am Soc Echocardiogr,2019,32(1):1-64.DOI:10.1016/j.echo.2018.06.004.
[4] Porter TR,Mulvagh SL,Abdelmoneim SS,et al.Clinical Applications of Ultrasonic Enhancing Agents in Echocardiography:2018 American Society of Echocardiography Guidelines Update [J].J Am Soc Echocardiogr,2018,31(3):241-274.DOI:10.1016/j.echo.2017.11.013.
[5] 齐欣.超声心动图测量LVEF的方法及结果判读 [J].中华心脏与心律电子杂志,2017,5(2):77-80.DOI:10.3877/cma.j.issn.2095-6568.2017.02.004.Qi X.Method and interpretation of left ventricular ejection fraction assessed by echocardiography [J].Chin J Heart & Heart Rhythm (Electronic Edition),2017,5(2):77-80.DOI:10.3877/cma.j.issn.2095-6568.2017.02.004.