Del Monaco Guido, Amata Francesco, Battaglia Vincenzo, Panico Cristina, Condorelli Gianluigi, Pinto Giuseppe
IRCCS (Istituto di Ricerca e Cura a Carattere Scientifico) Humanitas Research Hospital, 20089 Rozzano-Milan, Italy.
Department of Biomedical Sciences, Humanitas University, 20072 Pieve-Emanuele-Milan, Italy.
Rev Cardiovasc Med. 2024 Dec 24;25(12):455. doi: 10.31083/j.rcm2512455. eCollection 2024 Dec.
Cardiomyopathies, historically regarded as rare, are increasingly recognized due to advances in imaging diagnostics and heightened clinical focus. These conditions, characterized by structural and functional abnormalities of the myocardium, pose significant challenges in both chronic and acute patient management. A thorough understanding of the hemodynamic properties, specifically the pressure-volume relationships, is essential. These relationships provide insights into cardiac function, including ventricular compliance, contractility, and overall cardiovascular performance. Despite their potential utility, pressure-volume curves are underutilized in clinical settings due to the invasive nature of traditional measurement techniques. Recognizing the dynamic nature of cardiomyopathies, with possible transitions between phenotypes, underscores the importance of continuous monitoring and adaptive therapeutic strategies. Enhanced hemodynamic evaluation can facilitate tailored treatment, potentially improving outcomes for patients with these complex cardiac conditions.
心肌病在历史上被认为较为罕见，但由于成像诊断技术的进步和临床关注度的提高，其越来越受到认可。这些病症以心肌的结构和功能异常为特征，在慢性和急性患者管理中都带来了重大挑战。深入了解血液动力学特性，特别是压力 - 容积关系，至关重要。这些关系有助于洞察心脏功能，包括心室顺应性、收缩性和整体心血管性能。尽管压力 - 容积曲线具有潜在用途，但由于传统测量技术具有侵入性，其在临床环境中的应用未得到充分利用。认识到心肌病的动态性质，其表型之间可能发生转变，凸显了持续监测和适应性治疗策略的重要性。增强的血液动力学评估有助于进行个性化治疗，有可能改善这些复杂心脏疾病患者的治疗效果。
