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左心室扭转在心脏再同步治疗患者选择中的新见解。

New insights in LV torsion for the selection of cardiac resynchronisation therapy candidates.

机构信息

Department of Clinical Physics, Hagaziekenhuis, Postbus 40551, 2504 LN, Den Haag, the Netherlands,

出版信息

Neth Heart J. 2011 Sep;19(9):386-91. doi: 10.1007/s12471-011-0136-y.

DOI:10.1007/s12471-011-0136-y
PMID:21562790
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3167247/
Abstract

Recent literature indicates that torsion of the left ventricle (LV) is a promising predictor for response to cardiac resynchronisation therapy (CRT). Among patients with severe heart failure, 45 to 75% of patients show rigid body rotation, where the base and apex rotate in the same direction, instead of normal, opposite rotation. The occurrence of this phenomenon seems to be a good indicator for response to CRT. From this review, it can be concluded that LV torsion might be a welcome addition to current selection criteria.

摘要

近期文献表明,左心室(LV)扭转是预测心脏再同步治疗(CRT)反应的一个有前途的指标。在严重心力衰竭患者中,45%至 75%的患者出现刚体旋转,即基底和心尖朝同一方向旋转,而不是正常的反向旋转。这种现象的发生似乎是对 CRT 反应的一个很好的指标。从这篇综述可以得出结论,LV 扭转可能是当前选择标准的一个受欢迎的补充。

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New insights in LV torsion for the selection of cardiac resynchronisation therapy candidates.左心室扭转在心脏再同步治疗患者选择中的新见解。
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本文引用的文献

1
Hemodynamic improvement in cardiac resynchronization does not require improvement in left ventricular rotation mechanics: three-dimensional tagged MRI analysis.心脏再同步治疗的血液动力学改善并不需要左心室旋转力学的改善:三维标记 MRI 分析。
Circ Cardiovasc Imaging. 2010 Jul;3(4):456-63. doi: 10.1161/CIRCIMAGING.109.906305. Epub 2010 May 17.
2
Left ventricular remodelling and torsional dynamics in dilated cardiomyopathy: reversed apical rotation as a marker of disease severity.扩张型心肌病中的左心室重构和扭转动力学:反向心尖旋转作为疾病严重程度的标志物。
Eur J Heart Fail. 2009 Oct;11(10):945-51. doi: 10.1093/eurjhf/hfp124.
3
Loss of opposite left ventricular basal and apical rotation predicts acute response to cardiac resynchronization therapy and is associated with long-term reversed remodeling.左心室基底和心尖反向旋转丧失预测心脏再同步治疗的急性反应,并与长期逆向重构相关。
J Card Fail. 2009 Oct;15(8):717-25. doi: 10.1016/j.cardfail.2009.04.007. Epub 2009 Jun 13.
4
Effects of cardiac resynchronization therapy on left ventricular twist.心脏再同步治疗对左心室扭转的影响。
J Am Coll Cardiol. 2009 Sep 29;54(14):1317-25. doi: 10.1016/j.jacc.2009.05.063.
5
Left ventricular torsion: an expanding role in the analysis of myocardial dysfunction.左心室扭转:在心肌功能障碍分析中的作用不断扩大。
JACC Cardiovasc Imaging. 2009 May;2(5):648-55. doi: 10.1016/j.jcmg.2009.03.001.
6
Cardiac magnetic resonance assessment of dyssynchrony and myocardial scar predicts function class improvement following cardiac resynchronization therapy.心脏磁共振对不同步和心肌瘢痕的评估可预测心脏再同步治疗后功能分级的改善。
JACC Cardiovasc Imaging. 2008 Sep;1(5):561-8. doi: 10.1016/j.jcmg.2008.04.013.
7
Left ventricular strain patterns in dilated cardiomyopathy predict response to cardiac resynchronization therapy: timing is not everything.扩张型心肌病患者的左心室应变模式可预测心脏再同步治疗的反应:时机并非一切。
J Am Soc Echocardiogr. 2009 Mar;22(3):242-50. doi: 10.1016/j.echo.2008.12.003. Epub 2009 Jan 24.
8
Left ventricular solid body rotation in non-compaction cardiomyopathy: a potential new objective and quantitative functional diagnostic criterion?非致密型心肌病中的左心室实体旋转:一种潜在的新的客观定量功能诊断标准?
Eur J Heart Fail. 2008 Nov;10(11):1088-93. doi: 10.1016/j.ejheart.2008.08.006. Epub 2008 Sep 24.
9
Results of the Predictors of Response to CRT (PROSPECT) trial.心脏再同步化治疗反应预测因子(PROSPECT)试验的结果。
Circulation. 2008 May 20;117(20):2608-16. doi: 10.1161/CIRCULATIONAHA.107.743120. Epub 2008 May 5.
10
Effect of mechanical dyssynchrony and cardiac resynchronization therapy on left ventricular rotational mechanics.机械性不同步及心脏再同步治疗对左心室旋转力学的影响。
Am J Cardiol. 2008 Apr 15;101(8):1163-9. doi: 10.1016/j.amjcard.2007.11.069. Epub 2008 Feb 20.