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肺动脉环缩术后右心室功能:绵羊 CMR 和导丝测量评估的适应性过程。

Right Ventricular Function After Pulmonary Artery Banding: Adaptive Processes Assessed by CMR and Conductance Catheter Measurements in Sheep.

机构信息

Department of Diagnostic and Interventional Radiology, University Clinic, Schillingallee 35, 10857, Rostock, Germany.

Clinic and Policlinic of Radiology, Martin-Luther University Halle-Wittenberg, Ernst-Grube-Str. 40, 06120, Halle, Germany.

出版信息

J Cardiovasc Transl Res. 2019 Oct;12(5):459-466. doi: 10.1007/s12265-019-09881-6. Epub 2019 Mar 7.

Abstract

This experimental study describes the adaptive processes of the right ventricular (RV) myocardium after pulmonary artery banding (PAB) evaluated by cine cardiac magnetic resonance (CMR), phase-contrast CMR (PC-CMR), and conductance catheter. Seven sheep were subjected to CMR 3 months after PAB. Conductance catheter measurements were performed before and 3 months after PAB. Four nonoperated, healthy, age-matched animals served as controls. Higher RV masses (p < 0.01), elevated RV end-systolic volumes (p < 0.05), and lower RV ejection fraction (p < 0.01) were observed in the operated group. The time-to-peak pulmonary artery flow was longer in the banding group (p < 0.01). RV maximal pressure and RV end-diastolic pressure correlated with the time-to-peak flow in the pulmonary artery (r = - 0.70 and - 0.69, respectively). In summary, PAB caused RV hypertrophy, increased myocardial contractility, and decreased RV-EF and cardiac output. The time-to-peak pulmonary artery flow correlated with RV pressures.

摘要

本实验研究通过电影心脏磁共振(CMR)、相位对比 CMR(PC-CMR)和心导管测量,描述了肺动脉带缩术(PAB)后右心室(RV)心肌的适应过程。7 只羊在 PAB 后 3 个月接受 CMR 检查。在 PAB 之前和 3 个月后进行心导管测量。4 只未经手术、年龄匹配的健康动物作为对照组。与对照组相比,观察组 RV 质量更高(p < 0.01),RV 收缩末期容积更大(p < 0.05),RV 射血分数更低(p < 0.01)。观察组肺动脉峰值血流时间更长(p < 0.01)。RV 最大压力和 RV 舒张末期压力与肺动脉峰值血流时间呈负相关(r = -0.70 和 -0.69)。总之,PAB 导致 RV 肥厚、心肌收缩力增加,RV-EF 和心输出量减少。肺动脉峰值血流时间与 RV 压力相关。

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