Thorn Eric M, de Filippi Christopher R
University of Maryland School of Medicine, Baltimore, MD 21201-1595, USA.
Heart Fail Clin. 2007 Jan;3(1):51-67. doi: 10.1016/j.hfc.2007.02.008.
Despite the widespread use of echocardiography in the cardiac allograft recipient, the clinical usefulness of this practice is not well defined. In this article, the authors review the spectrum of echocardiographic findings in the adult heart transplant patient. Appreciation of typical alterations from "normal" allows the transplant physician to identify clinically significant changes and to avoid unnecessary invasive procedures based on misinterpretation of these differences. Though abnormalities of systolic and diastolic function correlate with episodes of acute rejection, the primary diagnostic usefulness of echocardiography in acute rejection is guiding the endomyocardial biopsy. Additionally, echocardiography has found a role as a supplement to invasive angiography in the diagnosis of cardiac allograft vasculopathy.
尽管超声心动图在心脏移植受者中广泛应用，但这种做法的临床实用性尚未明确界定。在本文中，作者回顾了成年心脏移植患者超声心动图检查结果的范围。了解与“正常”情况的典型差异，有助于移植医生识别具有临床意义的变化，并避免因对这些差异的错误解读而进行不必要的侵入性检查。虽然收缩和舒张功能异常与急性排斥反应发作相关，但超声心动图在急性排斥反应中的主要诊断用途是指导心内膜心肌活检。此外，超声心动图已成为诊断心脏移植血管病变时侵入性血管造影的补充手段。
