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斑点追踪超声心动图评估心脏移植术后临床状况良好患者的右心室功能

Speckle-Tracking Echocardiography in Right Ventricular Function of Clinically Well Patients with Heart Transplantation.

作者信息

Ji Xiang, Zhang Junmin, Xie Yuji, Wang Wenyuan, Zhang Yiwei, Xie Mingxing, Zhang Li

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). 2024 Jun 20;14(12):1305. doi: 10.3390/diagnostics14121305.

DOI:10.3390/diagnostics14121305
PMID:38928720
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11203351/
Abstract

Heart transplantation (HT) is the mainstream therapy for end-stage heart disease. However, the cardiac graft function can be affected by several factors. It is important to monitor HT patients for signs of graft dysfunction. Transthoracic echocardiography is a simple, first-line, and non-invasive method for the assessment of cardiac function. The emerging speckle-tracking echocardiography (STE) could quickly and easily provide additive information over traditional echocardiography. STE longitudinal deformation parameters are markers of early impairment of ventricular function. Although once called the "forgotten ventricle", right ventricular (RV) assessment has gained attention in recent years. This review highlights the potentially favorable role of STE in assessing RV systolic function in clinically well HT patients.

摘要

心脏移植(HT)是终末期心脏病的主流治疗方法。然而,心脏移植物的功能会受到多种因素的影响。监测心脏移植患者是否出现移植物功能障碍的迹象非常重要。经胸超声心动图是一种用于评估心脏功能的简单、一线且无创的方法。新兴的斑点追踪超声心动图(STE)能够快速且轻松地提供比传统超声心动图更多的信息。STE纵向变形参数是心室功能早期受损的标志物。尽管右心室(RV)评估曾被称为“被遗忘的心室”,但近年来已受到关注。本综述强调了STE在评估临床状况良好的心脏移植患者右心室收缩功能方面可能具有的有利作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71de/11203351/60f9050349eb/diagnostics-14-01305-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71de/11203351/aaafbaf17551/diagnostics-14-01305-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71de/11203351/d44e6e9f37f3/diagnostics-14-01305-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71de/11203351/ba7db5879d5d/diagnostics-14-01305-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71de/11203351/60f9050349eb/diagnostics-14-01305-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71de/11203351/aaafbaf17551/diagnostics-14-01305-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71de/11203351/d44e6e9f37f3/diagnostics-14-01305-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71de/11203351/ba7db5879d5d/diagnostics-14-01305-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71de/11203351/60f9050349eb/diagnostics-14-01305-g004.jpg

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本文引用的文献

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Right Ventricular Function on Cardiovascular Magnetic Resonance Imaging and Long-Term Outcomes in Stable Heart Transplant Recipients.心脏磁共振成像右心室功能与稳定心脏移植受者的长期预后。
Circ Cardiovasc Imaging. 2024 Apr;17(4):e016415. doi: 10.1161/CIRCIMAGING.123.016415. Epub 2024 Apr 2.
2
Prognosis of Right Ventricular Systolic Dysfunction in Patients With Duchenne Muscular Dystrophy.杜氏肌营养不良症患者右心室收缩功能障碍的预后。
J Am Heart Assoc. 2023 Aug 15;12(16):e027231. doi: 10.1161/JAHA.122.027231. Epub 2023 Aug 10.
3
Heart Transplantation: Indications, Surgical Techniques, and Complications.
心脏移植:适应证、手术技术及并发症。
Radiol Clin North Am. 2023 Sep;61(5):847-859. doi: 10.1016/j.rcl.2023.04.011. Epub 2023 May 15.
4
Prognostic value of right ventricular three-dimensional speckle-tracking strain in adult heart transplantation patients.右心室三维斑点追踪应变在成人心脏移植患者中的预后价值。
Int J Cardiovasc Imaging. 2023 Jul;39(7):1275-1287. doi: 10.1007/s10554-023-02842-w. Epub 2023 Apr 7.
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