Kinno Menhel, Nagpal Prashant, Horgan Stephen, Waller Alfonso H
Division of Cardiology, Department of Medicine, Rutgers New Jersey Medical School, Rutgers, The State University of New Jersey, Newark, NJ, USA.
Department of Radiology, Carver College of Medicine, University of Iowa, Iowa City, IA, USA.
Curr Cardiol Rep. 2017 Jan;19(1):6. doi: 10.1007/s11886-017-0816-3.
Assessing left ventricular diastolic and regional function is a crucial part of the cardiovascular evaluation. Diastolic function is as important as systolic function for left ventricular performance because it is the determinant of the ability of the left atrium and ventricle to fill at relatively low pressures. Additionally, diastolic function plays an important role in the management and prognosis of patients with symptoms and signs of heart failure. Technical advances in the imaging modalities have allowed a comprehensive noninvasive assessment of global and regional cardiac mechanics and precise estimation of cardiovascular hemodynamics. In this review, we will discuss and compare clinically available techniques and novel approaches using echocardiography, cardiac magnetic resonance, and computed tomography for the assessment of diastolic and regional left ventricular function.
评估左心室舒张功能和局部功能是心血管评估的关键部分。舒张功能对于左心室功能而言与收缩功能同样重要,因为它决定了左心房和左心室在相对较低压力下充盈的能力。此外,舒张功能在心力衰竭症状和体征患者的管理及预后中起着重要作用。成像技术的进步使得对整体和局部心脏力学进行全面的非侵入性评估以及对心血管血流动力学进行精确估计成为可能。在本综述中,我们将讨论并比较使用超声心动图、心脏磁共振成像和计算机断层扫描来评估左心室舒张功能和局部功能的临床可用技术及新方法。