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使用二维斑点追踪超声心动图比较小型、中型和大型犬的左心室收缩情况

Comparison of left ventricular contraction profiles among small, medium, and large dogs by use of two-dimensional speckle-tracking echocardiography.

作者信息

Takano Hiroshi, Fujii Yoko, Ishikawa Ryokichi, Aoki Takuma, Wakao Yoshito

机构信息

Department of Surgery 1, School of Veterinary Medicine, Azabu University, Sagamihara-shi, Kanagawa, Japan.

出版信息

Am J Vet Res. 2010 Apr;71(4):421-7. doi: 10.2460/ajvr.71.4.421.

Abstract

OBJECTIVE

To assess differences in left ventricular contractile indices among dogs of 3 body sizes via 2-D speckle-tracking echocardiography (STE) and to determine body weight-independent systolic variables.

ANIMALS

37 clinically normal adult dogs.

PROCEDURES

Dogs were allocated into 3 groups on the basis of body weight: small (<7kg), medium (7 to 20kg), and large (>20kg). Right parasternal short-axis echocardiographic views were acquired to measure conventional M-mode variables (left ventricular internal diameter at end diastole, left ventricular internal diameter at end systole, and fractional shortening [FS]) and STE indices (peak systolic strain, peak systolic strain rate, synchrony time index [STI], peak systolic apical rotation, peak systolic basal rotation, peak apical twisting rate, and peak systolic torsion). Values were compared among the 3 groups.

RESULTS

STE indices, except for peak systolic radial strain (SRad), peak systolic basal rotation, and STI, were significantly decreased in large dogs, compared with values for small and medium dogs. No significant difference was detected in stroke index, peak systolic SRad, and peak systolic basal rotation among the 3 groups. The STI in large dogs was significantly increased, compared with that of medium dogs.

CONCLUSIONS AND CLINICAL RELEVANCE

Results revealed that decreased systolic indices in large dogs should not be interpreted as signs of decreased systolic function. Increased STI in large dogs may contribute to decreased FS. Because peak systolic SRad was not affected by body weight, peak systolic SRad might be a better variable than FS for assessing systolic function.

摘要

目的

通过二维斑点追踪超声心动图(STE)评估三种体型犬的左心室收缩指标差异,并确定与体重无关的收缩变量。

动物

37只临床正常的成年犬。

方法

根据体重将犬分为三组:小型犬(<7kg)、中型犬(7至20kg)和大型犬(>20kg)。获取右胸骨旁短轴超声心动图视图,以测量传统M型变量(舒张末期左心室内径、收缩末期左心室内径和缩短分数[FS])和STE指标(峰值收缩期应变、峰值收缩期应变率、同步时间指数[STI]、峰值收缩期心尖旋转、峰值收缩期基底旋转、峰值心尖扭转率和峰值收缩期扭转)。比较三组之间的值。

结果

与小型犬和中型犬相比,大型犬的STE指标(除峰值收缩期径向应变[SRad]、峰值收缩期基底旋转和STI外)显著降低。三组之间的每搏输出量指数、峰值收缩期SRad和峰值收缩期基底旋转未检测到显著差异。与中型犬相比,大型犬的STI显著增加。

结论及临床意义

结果表明,大型犬收缩指标降低不应被解释为收缩功能降低的迹象。大型犬STI增加可能导致FS降低。由于峰值收缩期SRad不受体重影响,因此峰值收缩期SRad可能是比FS更好的评估收缩功能的变量。

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