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螺旋 CT 在房颤患者左心耳毗邻结构定量测量中的应用。

Spiral Computed Tomography in the Quantitative Measurement of the Adjacent Structure of the Left Atrial Appendage in Patients with Atrial Fibrillation.

机构信息

Department of Cardiovascular Medicine, Affiliated Hospital of Youjiang Medical College for Nationalities, Guangxi Baise 533000, China.

出版信息

J Healthc Eng. 2021 Nov 30;2021:9893358. doi: 10.1155/2021/9893358. eCollection 2021.

Abstract

Cardiac arrhythmias are common clinical cardiovascular diseases. Arrhythmias are abnormalities in the frequency, rhythm, site of origin, conduction velocity, or sequence of excitation of the cardiac impulses. Arrhythmia mechanisms include foldback, altered autonomic rhythm, and triggering mechanisms. It can cause palpitations, dizziness, black dawn, syncope, and angina pectoris and can worsen a preexisting cardiac disease, reduce the quality of life, and increase mortality. Also, by making it one of the constant challenges for the clinical cardiovascular physician, we can get more information. The study included 94 patients with atrial fibers, including 56 men and 38 women aged 57, 46, 11, and 68 years. There are 80 patients with nonatrial fibers, including 44 men and 36 women aged 56, 10, and 83 years. Those who can perform a normal coronary angiography and exclude congenital heart disease, heart valve disease, and other cardiovascular diseases. In both groups, a 256-layer spiral CT examination was performed. A pulmonary vein scanning protocol was applied to the patients with atrial fibrillation, and this can perform normal coronary angiography and exclude those with cardiovascular diseases such as congenital heart disease and valvular heart disease. The purpose of this study is to investigate the anatomical changes of the left atrium and its adjacent structures by applying the 256 nm spiral CT imaging to visualize the left atrium and its adjacent structures and by applying the MPR technology, VR technology, and simulation endoscope techniques.

摘要

心律失常是常见的临床心血管疾病。心律失常是指心脏冲动的频率、节律、起源部位、传导速度或激动顺序的异常。心律失常的机制包括折返、自主节律改变和触发机制。它可引起心悸、头晕、黑矇、晕厥和心绞痛,并可使原有心脏病恶化,降低生活质量,增加死亡率。此外,通过使其成为临床心血管医师的持续挑战之一,我们可以获得更多信息。该研究纳入了 94 例心房纤维患者,其中男性 56 例,女性 38 例,年龄 57、46、11 和 68 岁。非心房纤维患者 80 例,其中男性 44 例,女性 36 例,年龄 56、10 和 83 岁。这些患者均能进行正常的冠状动脉造影检查,并排除先天性心脏病、心脏瓣膜病等心血管疾病。两组患者均行 256 层螺旋 CT 检查。对心房颤动患者行肺静脉扫描方案,行正常冠状动脉造影检查,并排除先天性心脏病、心脏瓣膜病等心血管疾病。本研究旨在通过 256 层螺旋 CT 成像观察左心房及其毗邻结构,应用多平面重建(MPR)技术、容积再现(VR)技术和仿真内窥镜技术,研究左心房及其毗邻结构的解剖学变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d14/8651432/3c3bd8cb272e/JHE2021-9893358.001.jpg

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