Kotini-Shah Pavitra, Cuadros Susana, Huang Felix, Colla Joseph S
Department of Emergency Medicine, University of Illinois at Chicago, 808 S. Wood Street (MC 724), Chicago, IL, 60612, USA.
University of Illinois at Chicago, College of Medicine, Chicago, USA.
Crit Ultrasound J. 2018 Nov 19;10(1):29. doi: 10.1186/s13089-018-0110-7.
Hypertensive emergency is a life-threatening state. End-organ damage affecting the heart accounts for up to 52% of hypertensive emergencies commonly encountered in the emergency department. Recent evidence indicates that strain echocardiography with computerized speckle-tracking is more sensitive at identifying hypertension induced changes in the left ventricle (LV) mechanical function than traditional 2-D echocardiography. We present a case demonstrating the use of emergency physician performed point-of-care strain echocardiography to identify and quantify LV mechanical dysfunction during a hypertensive crisis and to monitor improvement over 6 h.
高血压急症是一种危及生命的状态。在急诊科常见的高血压急症中，影响心脏的终末器官损害占比高达52%。最近的证据表明，与传统二维超声心动图相比，采用计算机散斑追踪的应变超声心动图在识别高血压引起的左心室（LV）机械功能变化方面更为敏感。我们报告一例病例，展示了急诊医生进行的即时应变超声心动图在高血压危象期间用于识别和量化LV机械功能障碍，并在6小时内监测其改善情况。
