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右心室的解剖与生理。

Anatomy and physiology of the right ventricle.

机构信息

Division of Cardiovascular Disease, Birmingham VA Medical Center, Birmingham, AL 35294, USA.

出版信息

Cardiol Clin. 2012 May;30(2):167-87. doi: 10.1016/j.ccl.2012.03.009.

DOI:10.1016/j.ccl.2012.03.009
PMID:22548810
Abstract

Under normal baseline conditions the unique anatomy, myocardial ultrastructure, and coronary physiology of the right ventricle (RV) reflect a high-volume low-pressure pump. Early work described the RV as a passive conduit with minimal pumping capability. It is now appreciated that through a mechanism of ventricular interdependence, RV systolic function and diastolic load are extremely important in the prognosis and treatment of congestive heart failure, cardiac transplantation, pulmonary hypertension, congenital heart disease, and left ventricle assist devices. Magnetic resonance imaging with three-dimensional analysis has shown the complex geometry of the RV and the interaction of both ventricles within the pericardium.

摘要

在正常的基础条件下,右心室(RV)独特的解剖结构、心肌超微结构和冠状动脉生理学反映了一个高容量、低压力的泵。早期的工作将 RV 描述为一个具有最小泵送能力的被动管道。现在人们认识到,通过心室相互依存的机制,RV 的收缩功能和舒张负荷在充血性心力衰竭、心脏移植、肺动脉高压、先天性心脏病和左心室辅助装置的预后和治疗中非常重要。三维分析的磁共振成像显示了 RV 的复杂几何形状以及心包内两个心室的相互作用。

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