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三尖瓣反流患者下肢静脉频谱多普勒心脏活动与超声心动图检查结果的相关性

Association of spectral Doppler cardiac activity in the lower limb veins and echocardiographic findings in patients with tricuspid regurgitation.

作者信息

Manzoor Iqra, Gilani Syed Amir, Bacha Raham, Fatima Mehreen

机构信息

University Institute of Radiological Sciences and Medical Imaging Technologies, The University of Lahore , Lahore , Pakistan.

Dean Faculty of Allied Health Sciences, The University of Lahore , Lahore , Pakistan.

出版信息

J Ultrason. 2020;20(81):e111-e115. doi: 10.15557/JoU.2020.0018. Epub 2020 Jun 15.

Abstract

To determine the association between spectral Doppler cardiac activity in the lower limb veins and echocardiographic findings in patients with tricuspid regurgitation. A cross-sectional analysis was performed in the Gilani Ultrasound Center over a period of 13 months. The total study sample comprised 400 subjects. All individuals referred for abdominal ultrasound having cardiac activities in external iliac vein, popliteal and posterior tibial vein, individuals having normal venous Doppler ultrasound, both genders and all ages, were included, and unwilling and non-cooperative patients were excluded from the study. Out of 400 individuals, 200 showed cardiac activity in the lower limb veins on Doppler vascular ultrasound, while 200 did not show cardiac activity. On echocardiography, 204 individuals were diagnosed with tricuspid regurgitation, and 196 individuals had a competent tricuspid valve. According to the independent sample t-test the mean difference in the posterior tibial vein was 25.54 (95% CI: 24.09; 26.98), while the mean difference in the iliac vein was 2.34 (95% CI: 0.64; 4.03) among normal and tricuspid regurgitation. A correlation was found between the cardiac activities in the lower limb veins and tricuspid regurgitation. To determine the association between spectral Doppler cardiac activity in the lower limb veins and echocardiographic findings in patients with tricuspid regurgitation. A cross-sectional analysis was performed in the Gilani Ultrasound Center over a period of 13 months. The total study sample comprised 400 subjects. All individuals referred for abdominal ultrasound having cardiac activities in external iliac vein, popliteal and posterior tibial vein, individuals having normal venous Doppler ultrasound, both genders and all ages, were included, and unwilling and non-cooperative patients were excluded from the study. Out of 400 individuals, 200 showed cardiac activity in the lower limb veins on Doppler vascular ultrasound, while 200 did not show cardiac activity. On echocardiography, 204 individuals were diagnosed with tricuspid regurgitation, and 196 individuals had a competent tricuspid valve. According to the independent sample t-test the mean difference in the posterior tibial vein was 25.54 (95% CI: 24.09; 26.98), while the mean difference in the iliac vein was 2.34 (95% CI: 0.64; 4.03) among normal and tricuspid regurgitation. A correlation was found between the cardiac activities in the lower limb veins and tricuspid regurgitation.

摘要

确定下肢静脉频谱多普勒心脏活动与三尖瓣反流患者超声心动图检查结果之间的关联。在吉拉尼超声中心进行了为期13个月的横断面分析。总研究样本包括400名受试者。纳入所有因腹部超声检查而在髂外静脉、腘静脉和胫后静脉有心脏活动的个体,以及静脉多普勒超声正常的个体,不限性别和年龄,排除不愿意和不合作的患者。在400名个体中,200名在多普勒血管超声检查中显示下肢静脉有心脏活动,而200名未显示心脏活动。在超声心动图检查中,204名个体被诊断为三尖瓣反流,196名个体的三尖瓣功能正常。根据独立样本t检验,正常组和三尖瓣反流组胫后静脉的平均差异为25.54(95%置信区间:24.09;26.98),而髂静脉的平均差异为2.34(95%置信区间:0.64;4.03)。发现下肢静脉的心脏活动与三尖瓣反流之间存在相关性。确定下肢静脉频谱多普勒心脏活动与三尖瓣反流患者超声心动图检查结果之间的关联。在吉拉尼超声中心进行了为期13个月的横断面分析。总研究样本包括400名受试者。纳入所有因腹部超声检查而在髂外静脉、腘静脉和胫后静脉有心脏活动的个体,以及静脉多普勒超声正常的个体,不限性别和年龄,排除不愿意和不合作的患者。在400名个体中,200名在多普勒血管超声检查中显示下肢静脉有心脏活动,而200名未显示心脏活动。在超声心动图检查中,204名个体被诊断为三尖瓣反流,196名个体的三尖瓣功能正常。根据独立样本t检验,正常组和三尖瓣反流组胫后静脉的平均差异为25.54(95%置信区间:24.09;26.98),而髂静脉的平均差异为2.34(95%置信区间:0.64;4.03)。发现下肢静脉的心脏活动与三尖瓣反流之间存在相关性。

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本文引用的文献

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Tricuspid regurgitation diagnosis and treatment.三尖瓣反流的诊断与治疗。
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From the Veins to the Heart: A Rare Cause of Varicose Veins.从静脉到心脏:静脉曲张的一种罕见病因。
Case Rep Vasc Med. 2015;2015:849408. doi: 10.1155/2015/849408. Epub 2015 May 21.
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Impact of severe tricuspid regurgitation on long term survival.严重三尖瓣反流对长期生存的影响。
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