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用于预测二尖瓣疾病犬左心房重构的X线片测量的椎体左心房大小(VLAS)与超声心动图方法的比较

Comparison Between Radiographic Vertebral Left Atrial Size (VLAS) and Echocardiographic Methods for Predicting Left Atrial Remodeling in Dogs With Mitral Valve Disease.

作者信息

Pereira Natália Babolim, Bispo Guilherme Andraus, Carneiro Maurício Peres, Buzo Ricardo de Souza, Jané Daniela Ribas, Linhares Laís Calazans Menescal, Dos Santos Paulo Sergio Patto, Pinoti Luciana Del Rio, Ferreira Wagner Luis

机构信息

Department of Clinical, Surgery and Animal Reproduction, School of Veterinary Medicine, São Paulo State University (UNESP), Araçatuba, São Paulo, Brazil.

Department of Veterinary Clinic and Surgery, School of Agricultural and Veterinary Sciences, São Paulo State University (UNESP), Jaboticabal, São Paulo, Brazil.

出版信息

Vet Med Int. 2025 Feb 6;2025:5516116. doi: 10.1155/vmi/5516116. eCollection 2025.

Abstract

To investigate whether there is a positive correlation between vertebral left atrial size (VLAS) and echocardiographic variables-left atrium-to-aorta ratio (LA/Ao), left ventricular fractional shortening (FS), left ventricular internal diameter in diastole normalized to body weight (LVIDdn), and left ventricular early filling velocity (E-wave)-and the Mitral INsufficiency Echocardiographic (MINE) echocardiographic score. Prospective randomized blinded study. A total of 26 dogs. Dogs diagnosed with MVD participated in the study. All patients underwent radiographic and echocardiographic evaluation. A high correlation strength could be observed between the left atrial enlargement predictor VLAS and the LA/Ao ratio (88%), as well as with LVIDdn (75%) and E-wave (74%). Furthermore, a correction strength of 84% was verified between VLAS and the MINE score. The analysis of the FS variable did not demonstrate a statistically significant relationship ( value of 0.06). VLAS has a positive relationship and important correlation with the echocardiographic variables and MINE score. Associated with its higher accessibility in clinical routine is a potential diagnostic method to detect left atrial enlargement in dogs, contributing to the diagnostic conduct in DVM.

摘要

为研究椎体左心房大小(VLAS)与超声心动图变量——左心房与主动脉比值(LA/Ao)、左心室短轴缩短率(FS)、校正体重后的左心室舒张末期内径(LVIDdn)、左心室早期充盈速度(E波)以及二尖瓣反流超声心动图(MINE)评分之间是否存在正相关。进行前瞻性随机双盲研究。共纳入26只犬。被诊断为二尖瓣病的犬参与本研究。所有受试对象均接受了放射学和超声心动图评估。可观察到左心房扩大预测指标VLAS与LA/Ao比值(88%)、LVIDdn(75%)和E波(74%)之间具有较高的相关性。此外,VLAS与MINE评分之间的校正强度为84%。FS变量分析未显示出统计学上的显著关系(P值为0.06)。VLAS与超声心动图变量及MINE评分呈正相关且具有重要关联。鉴于其在临床常规检查中更易获取,它是一种检测犬左心房扩大的潜在诊断方法,有助于兽医临床诊断。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a48a/11825196/65b933fe46bb/VMI2025-5516116.001.jpg

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