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心肌炎患者左心室壁运动的超声心动图评估

Echocardiographic assessment of left ventricular wall motion in myocarditis.

作者信息

Fujii J, Sato H, Sawada H, Takada H, Nishimura K, Aizawa T, Kohashi I, Ebato F, Watanabe H, Kato K

出版信息

Heart Vessels Suppl. 1985;1:116-21. doi: 10.1007/BF02072376.

DOI:10.1007/BF02072376
PMID:3843573
Abstract

Segmental wall motion abnormalities are common in patients with myocarditis. Left ventricular (LV) regional wall motion was assessed in six patients with myocarditis by two-dimensional echocardiography. Some of our patients demonstrated regional thinning of the wall, similar to myocardial infarction. Therefore, segmental wall motion abnormalities with or without regional wall thinning detected by two-dimensional echocardiography cannot be used to differentiate myocarditis from coronary artery disease. Nevertheless, echocardiography can be performed repeatedly and is useful for evaluating the severity of myocarditis by assessing LV regional wall motion abnormalities, changes in LV wall thickness and cardiac pump function during the course of the disease.

摘要

节段性室壁运动异常在心肌炎患者中很常见。通过二维超声心动图对6例心肌炎患者的左心室(LV)局部室壁运动进行了评估。我们的一些患者表现出室壁局部变薄,类似于心肌梗死。因此,二维超声心动图检测到的伴有或不伴有局部室壁变薄的节段性室壁运动异常不能用于区分心肌炎和冠状动脉疾病。尽管如此,超声心动图可以重复进行,并且通过评估疾病过程中左心室局部室壁运动异常、左心室壁厚度变化和心脏泵功能,对评估心肌炎的严重程度很有用。

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引用本文的文献

1
[Diagnosis of suspected acute myocardial infarct in acute regional myocarditis].[急性区域性心肌炎中疑似急性心肌梗死的诊断]
Klin Wochenschr. 1991 Jan 4;69(1):37-45. doi: 10.1007/BF01649056.

本文引用的文献

1
Value of radionuclide imaging techniques in assessing cardiomyopathy.放射性核素成像技术在评估心肌病中的价值。
Am J Cardiol. 1980 Dec 18;46(7):1232-6. doi: 10.1016/0002-9149(80)90293-3.
2
Computer analysis of cross sectional echocardiogram for quantitative evaluation of left ventricular asynergy in myocardial infarction.用于心肌梗死中左心室运动不协调定量评估的横断面超声心动图的计算机分析
Br Heart J. 1984 Feb;51(2):139-48. doi: 10.1136/hrt.51.2.139.
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Segmental wall motion abnormalities in dilated cardiomyopathy: a common finding and good prognostic sign.
J Am Coll Cardiol. 1984 Oct;4(4):674-9. doi: 10.1016/s0735-1097(84)80392-7.
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Localized disorders in myocardial contraction. Asynergy and its role in congestive heart failure.心肌收缩的局部性紊乱。协同失调及其在充血性心力衰竭中的作用。
N Engl J Med. 1967 Aug 3;277(5):222-32. doi: 10.1056/NEJM196708032770502.
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Detection of the site and extent of the left ventricular asynergy in myocardial infarction by echocardiography and B-scan imaging.通过超声心动图和B超成像检测心肌梗死中左心室运动失调的部位和范围。
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