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长期机械通气的神经肌肉疾病患者左右心室收缩和舒张功能的周期性变化

Cyclic Change in Right and Left Ventricular Systolic and Diastolic Function in Patients with Neuromuscular Disorders on Permanent Mechanical Ventilation.

作者信息

Fayssoil Abdallah, Mansencal Nicolas, Bergounioux Jean, Wahbi Karim, Stojkovic Tanya

机构信息

EchoLab, Raymond Poincaré Hospital, Université de Versailles-Saint Quentin, 78180 Montigny-le-Bretonneux, France.

University of Paris-Saclay, INSERM U1179, END-ICAP, 91190 Versailles, France.

出版信息

J Pers Med. 2022 Oct 11;12(10):1694. doi: 10.3390/jpm12101694.

DOI:10.3390/jpm12101694
PMID:36294832
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9605080/
Abstract

Home mechanical ventilation is classically used to treat neuromuscular patients with chronic respiratory insufficiency. Since the heart and lungs are localized in the thorax, intrathoracic pressure may directly affect heart function. Here, we report the direct cyclic effects of mechanical ventilation on the right and left ventricular systolic and diastolic function in serial cases. These cases highlight the importance of performing Doppler echocardiography in patients with neuromuscular disorders, focusing on the right and left ventricular systolic and diastolic functions in the context of ventilation setting modifications or introduction.

摘要

家庭机械通气传统上用于治疗患有慢性呼吸功能不全的神经肌肉疾病患者。由于心脏和肺位于胸腔内，胸内压力可能直接影响心脏功能。在此，我们报告了在一系列病例中机械通气对左右心室收缩和舒张功能的直接周期性影响。这些病例突出了对神经肌肉疾病患者进行多普勒超声心动图检查的重要性，重点关注在通气设置改变或开始通气时的左右心室收缩和舒张功能。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b15b/9605080/b5a364f6a2dd/jpm-12-01694-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b15b/9605080/25cb88cd1cfa/jpm-12-01694-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b15b/9605080/ab8fedad46e2/jpm-12-01694-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b15b/9605080/3696176106f2/jpm-12-01694-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b15b/9605080/b5a364f6a2dd/jpm-12-01694-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b15b/9605080/25cb88cd1cfa/jpm-12-01694-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b15b/9605080/ab8fedad46e2/jpm-12-01694-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b15b/9605080/3696176106f2/jpm-12-01694-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b15b/9605080/b5a364f6a2dd/jpm-12-01694-g004.jpg

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