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评估肺动脉高压和右心室功能的成像技术,特别参考慢性阻塞性肺疾病

Imaging techniques for assessing pulmonary artery hypertension and right ventricular performance with special reference to COPD.

作者信息

Matthay R A, Shub C

机构信息

Department of Medicine, Yale University School of Medicine, New Haven, Connecticut.

出版信息

J Thorac Imaging. 1990 Jul;5(3):47-67. doi: 10.1097/00005382-199007000-00009.

DOI:10.1097/00005382-199007000-00009
PMID:2194041
Abstract

Several imaging techniques, both noninvasive and minimally invasive, have now been applied widely for determining cardiovascular performance in patients with chronic respiratory disease, particularly COPD. Moreover, some of these techniques are useful for evaluating response to therapeutic intervention in these patients. The plain chest radiograph is useful primarily for detecting the presence of pulmonary artery hypertension in patients with COPD. Radionuclide angiocardiography, using either first-pass techniques or the gated equilibrium technique, is particularly useful for determining right and left ventricular ejection fraction. Echocardiography has evolved as a technique for assessing right ventricular size and function and, in some cases, the degree of pulmonary artery hypertension.

摘要

现在,几种无创和微创成像技术已广泛应用于确定慢性呼吸道疾病患者,尤其是慢性阻塞性肺疾病(COPD)患者的心血管功能。此外,其中一些技术有助于评估这些患者对治疗干预的反应。胸部X线平片主要用于检测COPD患者是否存在肺动脉高压。使用首次通过技术或门控平衡技术的放射性核素心血管造影术,对于确定左右心室射血分数特别有用。超声心动图已发展成为一种评估右心室大小和功能以及在某些情况下评估肺动脉高压程度的技术。

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