斑点追踪超声心动图在心血管肿瘤学及其他领域的应用
Speckle-Tracking Echocardiography in Cardio-Oncology and Beyond.
机构信息
Department of Medicine, University of Texas Medical School and Memorial Hermann Hospital, Houston, Texas 77030.
Dr. Quintana is now at Emory University School of Medicine, Atlanta, Georgia.
出版信息
Tex Heart Inst J. 2020 Apr 1;47(2):96-107. doi: 10.14503/THIJ-18-6736.
Abstract
Speckle-tracking echocardiography has enabled clinicians to detect changes in myocardial function with more sensitivity than that afforded by traditional diastolic and systolic functional measurements, including left ventricular ejection fraction. Speckle-tracking echocardiography enables evaluation of myocardial strain in terms of strain (percent change in length of a myocardial segment relative to its length at baseline) and strain rate (strain per unit of time). Both measurements have potential for use in diagnosing and monitoring the cardiovascular side effects of cancer therapy. Regional and global strain measurements can independently predict outcomes not only in patients who experience cardiovascular complications of cancer and cancer therapy, but also in patients with a variety of other clinical conditions. This review and case series examine the clinical applications and overall usefulness of speckle-tracking echocardiography in cardio-oncology and, more broadly, in clinical cardiology.
摘要
斑点追踪超声心动图使临床医生能够比传统的舒张和收缩功能测量（包括左心室射血分数）更敏感地检测心肌功能的变化。斑点追踪超声心动图能够评估心肌应变，包括应变（心肌节段长度相对于基线长度的百分比变化）和应变速率（应变/单位时间）。这两种测量方法都有可能用于诊断和监测癌症治疗的心血管副作用。区域和整体应变测量不仅可以独立预测癌症和癌症治疗患者发生心血管并发症的结果，而且可以预测各种其他临床情况患者的结果。本综述和病例系列检查了斑点追踪超声心动图在心肿瘤学中的临床应用和总体有效性，更广泛地说，也检查了临床心脏病学中的应用。
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