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有创左心室压力-容积分析:概述及实际临床意义

Invasive left ventricle pressure-volume analysis: overview and practical clinical implications.

作者信息

Bastos Marcelo B, Burkhoff Daniel, Maly Jiri, Daemen Joost, den Uil Corstiaan A, Ameloot Koen, Lenzen Mattie, Mahfoud Felix, Zijlstra Felix, Schreuder Jan J, Van Mieghem Nicolas M

机构信息

Department of Cardiology, Thoraxcenter, Erasmus University Medical Centre, Office Nt 645, Dr Molewaterplein 40 3015 GD, Rotterdam, The Netherlands.

Cardiovascular Research Foundation, New York, NY, USA.

出版信息

Eur Heart J. 2020 Mar 21;41(12):1286-1297. doi: 10.1093/eurheartj/ehz552.

Abstract

Ventricular pressure-volume (PV) analysis is the reference method for the study of cardiac mechanics. Advances in calibration algorithms and measuring techniques brought new perspectives for its application in different research and clinical settings. Simultaneous PV measurement in the heart chambers offers unique insights into mechanical cardiac efficiency. Beat to beat invasive PV monitoring can be instrumental in the understanding and management of heart failure, valvular heart disease, and mechanical cardiac support. This review focuses on intra cardiac left ventricular PV analysis principles, interpretation of signals, and potential clinical applications.

摘要

心室压力-容积(PV)分析是研究心脏力学的参考方法。校准算法和测量技术的进步为其在不同研究和临床环境中的应用带来了新的视角。心腔内同时进行PV测量可提供有关心脏机械效率的独特见解。逐搏有创PV监测有助于理解和管理心力衰竭、心脏瓣膜病及心脏机械支持。本综述重点关注心腔内左心室PV分析的原理、信号解读及潜在临床应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b72/7084193/d084c58a7f97/ehz552f13.jpg

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