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超声心动图在急性心力衰竭患者治疗中的价值

Value of Echocardiography in the Treatment of Patients With Acute Heart Failure.

作者信息

Izumo Masaki

机构信息

Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki, Japan.

出版信息

Front Cardiovasc Med. 2021 Nov 15;8:740439. doi: 10.3389/fcvm.2021.740439. eCollection 2021.

DOI:10.3389/fcvm.2021.740439
PMID:34869645
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8634439/
Abstract

Heart failure (HF) is a burden in pandemic medicine resulting in high mortality and morbidity. Because acute HF is a life-threatening event, its diagnosis and choice of optimal treatment are important to improve outcomes. Furthermore, understanding the cause and hemodynamics of acute HF is important in selecting the optimal treatment for these patients. Echocardiography is widely used in daily clinical practice because of its non-invasive nature and excellent portability to understand cardiac function and hemodynamics. Echocardiography is highly recommended by guidelines in the practice of HF, but evidence is limited. In this review, I would like to share clinical value of echocardiography in the treatment of patients with acute HF and discuss the usefulness of echocardiography.

摘要

心力衰竭(HF)是大流行医学中的一个负担,会导致高死亡率和高发病率。由于急性心力衰竭是一种危及生命的事件,其诊断和最佳治疗方案的选择对于改善预后很重要。此外,了解急性心力衰竭的病因和血流动力学对于为这些患者选择最佳治疗方法很重要。超声心动图因其无创性和出色的便携性,可用于了解心脏功能和血流动力学,在日常临床实践中被广泛使用。在心力衰竭的实践中,指南强烈推荐使用超声心动图,但证据有限。在本综述中,我想分享超声心动图在急性心力衰竭患者治疗中的临床价值,并讨论超声心动图的实用性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1be7/8634439/d62a40b4f97b/fcvm-08-740439-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1be7/8634439/478754570e4e/fcvm-08-740439-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1be7/8634439/d62a40b4f97b/fcvm-08-740439-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1be7/8634439/478754570e4e/fcvm-08-740439-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1be7/8634439/d62a40b4f97b/fcvm-08-740439-g0002.jpg

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J Clin Med. 2024 Oct 7;13(19):5951. doi: 10.3390/jcm13195951.

本文引用的文献

1
Prognostic value of lung ultrasound in patients hospitalized for heart disease irrespective of symptoms and ejection fraction.肺部超声对住院心脏病患者(无论症状和射血分数如何)的预后价值。
ESC Heart Fail. 2021 Aug;8(4):2660-2669. doi: 10.1002/ehf2.13206. Epub 2021 May 1.
2
A novel echocardiographic method for estimation of pulmonary artery wedge pressure and pulmonary vascular resistance.一种用于评估肺动脉楔压和肺血管阻力的新型超声心动图方法。
ESC Heart Fail. 2021 Apr;8(2):1216-1229. doi: 10.1002/ehf2.13183. Epub 2021 Feb 10.
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Assessment of left ventricular filling pressure with Doppler velocities across the patent foramen ovale.
经卵圆孔未闭的多普勒速度评估左心室充盈压。
J Echocardiogr. 2021 Sep;19(3):158-165. doi: 10.1007/s12574-020-00509-2. Epub 2021 Jan 12.
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Cardiopulmonary Hemodynamics in Pulmonary Hypertension and Heart Failure: JACC Review Topic of the Week.肺动脉高压与心力衰竭中的心肺血液动力学:美国心脏病学会评论专题周报。
J Am Coll Cardiol. 2020 Dec 1;76(22):2671-2681. doi: 10.1016/j.jacc.2020.10.007.
5
Association between right-sided cardiac function and ultrasound-based pulmonary congestion on acutely decompensated heart failure: findings from a pooled analysis of four cohort studies.右心功能与急性失代偿性心力衰竭超声肺充血的相关性:四项队列研究的汇总分析结果。
Clin Res Cardiol. 2021 Aug;110(8):1181-1192. doi: 10.1007/s00392-020-01724-8. Epub 2020 Aug 8.
6
Study protocol for prospect trial to elucidate the utility of echocardiography-based cardiac output in acute heart failure (PREDICT).前瞻性临床试验研究方案,旨在阐明基于超声心动图的心输出量在急性心力衰竭中的应用(PREDICT)。
J Echocardiogr. 2020 Dec;18(4):235-239. doi: 10.1007/s12574-020-00470-0. Epub 2020 Apr 20.
7
The clinical application of the ratio of transmitral early filling velocity to early diastolic strain rate: a systematic review and meta-analysis.经二尖瓣早期充盈速度与早期舒张应变率比值的临床应用:系统评价和荟萃分析。
J Echocardiogr. 2020 Jun;18(2):94-104. doi: 10.1007/s12574-020-00466-w. Epub 2020 Mar 18.
8
Tricuspid regurgitation pressure gradient identifies prognostically relevant worsening renal function in acute heart failure.三尖瓣反流压力梯度可识别急性心力衰竭中与预后相关的肾功能恶化。
Eur Heart J Cardiovasc Imaging. 2021 Jan 22;22(2):203-209. doi: 10.1093/ehjci/jeaa035.
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Left ventricular outflow tract velocity time integral in hospitalized heart failure with preserved ejection fraction.左心室流出道速度时间积分在射血分数保留的心力衰竭住院患者中的应用。
ESC Heart Fail. 2020 Feb;7(1):167-175. doi: 10.1002/ehf2.12541. Epub 2019 Dec 18.
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Eur J Heart Fail. 2019 Oct;21(10):1169-1186. doi: 10.1002/ejhf.1531. Epub 2019 Aug 30.