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解开舒张功能的谜团:十年后解读罗塞塔石碑

Unlocking the mysteries of diastolic function: deciphering the Rosetta Stone 10 years later.

作者信息

Lester Steven J, Tajik A Jamil, Nishimura Rick A, Oh Jae K, Khandheria Bijoy K, Seward James B

机构信息

Division of Cardiovascular Disease, Mayo Clinic, Scottsdale, Arizona 85259, USA.

出版信息

J Am Coll Cardiol. 2008 Feb 19;51(7):679-89. doi: 10.1016/j.jacc.2007.09.061.

DOI:10.1016/j.jacc.2007.09.061
PMID:18279730
Abstract

It has now been a quarter of a century since the first description by Kitabatake and his associates of the use of echo-Doppler to characterize the transmitral flow velocity curves in various disease states. A decade ago we described the role of echocardiography in the "Evaluation of Diastolic Filling of Left Ventricle in Health and Disease: Doppler Echocardiography Is the Clinician's Rosetta Stone." Over the ensuing decade, advances in echo-Doppler have helped to further decipher the morphologic and physiological expression of cardiovascular disease and unlock additional mysteries of diastology. The purpose of this review is to highlight the developments in echo-Doppler and refinements in our knowledge that have occurred over the past decade that enhance our understanding of diastology.

摘要

自从北田武和他的同事首次描述利用超声多普勒来描绘各种疾病状态下的二尖瓣血流速度曲线以来,已经过去了四分之一个世纪。十年前,我们描述了超声心动图在“健康与疾病状态下左心室舒张期充盈的评估:多普勒超声心动图是临床医生的罗塞塔石碑”中的作用。在随后的十年里,超声多普勒技术的进步有助于进一步解读心血管疾病的形态学和生理学表现,并揭开舒张学的更多奥秘。本综述的目的是突出过去十年中超声多普勒技术的发展以及我们知识的完善,这些发展和完善增强了我们对舒张学的理解。

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