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斑点追踪超声心动图在射血分数保留的心力衰竭患者中的临床应用价值

Clinical Usefulness of Speckle-Tracking Echocardiography in Patients with Heart Failure with Preserved Ejection Fraction.

作者信息

Lin Yixia, Zhang Li, Hu Xiaoqing, Gao Lang, Ji Mengmeng, He Qing, Xie Mingxing, Li Yuman

机构信息

Department of Ultrasound Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.

Clinical Research Center for Medical Imaging in Hubei Province, Wuhan 430022, China.

出版信息

Diagnostics (Basel). 2023 Sep 12;13(18):2923. doi: 10.3390/diagnostics13182923.

Abstract

Heart failure with preserved ejection fraction (HFpEF) is defined as HF with left ventricular ejection fraction (LVEF) not less than 50%. HFpEF accounts for more than 50% of all HF patients, and its prevalence is increasing year to year with the aging population, with its prognosis worsening. The clinical assessment of cardiac function and prognosis in patients with HFpEF remains challenging due to the normal range of LVEF and the nonspecific symptoms and signs. In recent years, new echocardiographic techniques have been continuously developed, particularly speckle-tracking echocardiography (STE), which provides a sensitive and accurate method for the comprehensive assessment of cardiac function and prognosis in patients with HFpEF. Therefore, this article reviewed the clinical utility of STE in patients with HFpEF.

摘要

射血分数保留的心力衰竭(HFpEF)定义为左心室射血分数(LVEF)不少于50%的心力衰竭。HFpEF占所有心力衰竭患者的50%以上,且随着人口老龄化其患病率逐年上升,预后恶化。由于LVEF在正常范围以及症状和体征缺乏特异性,HFpEF患者的心功能和预后的临床评估仍然具有挑战性。近年来,新的超声心动图技术不断发展,尤其是斑点追踪超声心动图(STE),它为全面评估HFpEF患者的心功能和预后提供了一种敏感且准确的方法。因此,本文综述了STE在HFpEF患者中的临床应用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/058a/10529773/15510c49494a/diagnostics-13-02923-g001.jpg

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