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无创压力-应变环技术中心肌做功在冠状动脉疾病评估和预测中的临床研究进展

Clinical research progress of myocardial work in assessment and prediction of coronary artery disease in noninvasive pressure-strain loop technique.

作者信息

Gao Lu, Wang Yinghui, Gao Ming, Chen Liping

机构信息

Department of the Cardiovascular Center, The First Hospital of Jilin University, Changchun, People's Republic of China.

Department of Echocardiography, Cardiovascular Disease Center, The First Hospital of Jilin University, Changchun, People's Republic of China.

出版信息

J Clin Ultrasound. 2023 Jan;51(1):38-45. doi: 10.1002/jcu.23326. Epub 2022 Sep 7.

Abstract

Early identification and treatment of high-risk coronary artery disease (CAD) is the main goal of current cardiovascular disease treatments. Speckle-tracking ultrasound technology can quantify myocardial work using pressure-strain loops. Because myocardial work takes into account the effect of the left ventricular systolic function afterload, it can more objectively reflect left ventricular myocardial mechanical function than the overall left ventricular longitudinal strain. Therefore, this technique is more widely used in diseases caused by CAD. This article reviews the evaluation and prediction of different CAD types using a variety of myocardial work parameters and provides a new method for clinical research to assess myocardial function, which is expected to become a new prediction method for CAD.

摘要

早期识别和治疗高危冠状动脉疾病(CAD)是当前心血管疾病治疗的主要目标。斑点追踪超声技术可使用压力应变环对心肌做功进行量化。由于心肌做功考虑了左心室收缩功能后负荷的影响,与整体左心室纵向应变相比,它能更客观地反映左心室心肌机械功能。因此,该技术在CAD所致疾病中应用更为广泛。本文综述了使用多种心肌做功参数对不同类型CAD的评估和预测,并为临床研究评估心肌功能提供了一种新方法,有望成为CAD的一种新的预测方法。

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