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在阿瓦士的戈勒斯坦医院和伊玛目霍梅尼医院收治的患者中,比较经颈动脉多普勒超声和超声心动图测量的心输出量。

Comparison of cardiac output measured by carotid artery Doppler ultrasound and echocardiography in patients admitted to Golestan and Imam Khomeyni Hospitalsl in Ahvaz.

作者信息

Fazelinejad Zahra, Hanafi Mohammad Ghasem, Amiripebdani Forough, Mosavi Aslan

机构信息

Department of Radiology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

Department of Cardiology, School of Medicine, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.

出版信息

J Family Med Prim Care. 2020 Jul 30;9(7):3304-3307. doi: 10.4103/jfmpc.jfmpc_32_20. eCollection 2020 Jul.

Abstract

INTRODUCTION

Ultrasound is highly effective, safe, and cost-effective for monitoring the hemodynamics and measuring the cardiac output of patients. This study aims to investigate the value of cardiac output by the measurement of common carotid artery flow, which is an inexpensive, simple, and accessible method.

METHOD

Doppler ultrasound of the carotid artery at thyroid level was obtained from the patients admitted to Golestan and Imam Khomeyni Hospitals in Ahvaz (the result is recorded medially from the bilateral outputs unless otherwise prescribed on one side due to a problem such as a catheter or specific position). A transthoracic echocardiography was also recorded using a portable device to measure the left ventricular outlet of diameter 0.5 cm below the aortic valve in the left parasternal with a long axis view.

RESULTS

Of the 94 patients studied between the ages of 25 to 87 years, 53 (56.4%) were males and 41 (43.6%) females with a mean age of 53.61 with a standard deviation of 14.56. There was a direct and significant relationship between age and cardiac output using both echocardiography and color Doppler carotid ultrasound ( < 0.001).

DISCUSSION

The results of this study showed that the measurement of cardiac output using color Doppler ultrasound in the case of inaccessible emergency echocardiography is a cheap, simple, and accessible method for the hemodynamic evaluation of patients.

摘要

引言

超声在监测患者血流动力学和测量心输出量方面高效、安全且具有成本效益。本研究旨在通过测量颈总动脉血流来探究心输出量的价值,这是一种廉价、简单且可及的方法。

方法

对阿瓦士的戈勒斯坦医院和伊玛目霍梅尼医院收治的患者进行甲状腺水平的颈动脉多普勒超声检查(除非因导管问题或特定体位等一侧出现问题另有规定,结果记录为双侧输出的内侧值)。还使用便携式设备记录经胸超声心动图,以在左胸骨旁长轴视图下测量主动脉瓣下方0.5厘米处的左心室流出道。

结果

在研究的94例年龄在25至87岁之间的患者中,53例(56.4%)为男性,41例(43.6%)为女性,平均年龄为53.61岁,标准差为14.56。使用超声心动图和彩色多普勒颈动脉超声测量,年龄与心输出量之间均存在直接且显著的关系(<0.001)。

讨论

本研究结果表明,在无法进行急诊超声心动图检查的情况下,使用彩色多普勒超声测量心输出量是一种用于患者血流动力学评估的廉价、简单且可及的方法。

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