Stárek A, Niederle P, Spaćek R, Hes I, Kozák P
Ist Department of Internal Medicine, 3rd School of Medicine, Charles University, Prague, Czechoslovakia.
Cor Vasa. 1991;33(6):458-71.
The authors offer their experience with diastolic function assessment using Doppler echocardiography in ischaemic heart disease. Information on the diastolic properties of the ventricle is obtained from recordings of the blood flow velocity curve in mitral and tricuspid valve orifices. Doppler echocardiography, allowing to monitor the velocity curve of ventricular filling, represents one of the most modern techniques of examination. Diastolic function is commonly significantly affected by ischaemic heart disease, not only in terms of energy requirements; other factors such as the volume of venous return, extent of ischaemia, its time course, and so on, come into play. Changes in myocardial rigidity and filling pressures are two factors which exert a substantial effect on the character of inflow curves. The article describes typical recordings obtained from individual clinical manifestations of acute and chronic states in ischaemic heart disease, and reviews the still limited body of data regarding the effect of drug and/or surgical therapy on the diastolic properties of the affected ventricle.
作者介绍了他们使用多普勒超声心动图评估缺血性心脏病舒张功能的经验。有关心室舒张特性的信息可从二尖瓣和三尖瓣口血流速度曲线记录中获得。多普勒超声心动图能够监测心室充盈速度曲线，是最现代的检查技术之一。缺血性心脏病通常会显著影响舒张功能，不仅在能量需求方面；其他因素如静脉回流量、缺血程度、其时间进程等也会起作用。心肌僵硬度和充盈压力的变化是对流入曲线特征产生重大影响的两个因素。本文描述了从缺血性心脏病急性和慢性状态的个体临床表现中获得的典型记录，并回顾了关于药物和/或手术治疗对受影响心室舒张特性影响的有限数据。
