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通过超声心动图右心室收缩时间间期评估肺血管床

Assessment of the pulmonary vascular bed by echocardiographic right ventricular systolic time intervals.

作者信息

Riggs T, Hirschfeld S, Borkat G, Knoke J, Liebman J

出版信息

Circulation. 1978 May;57(5):939-47. doi: 10.1161/01.cir.57.5.939.

DOI:10.1161/01.cir.57.5.939
PMID:565263
Abstract

Echocardiography was used to measure right ventricular systolic time intervals (RVSTI) in 85 normal children (group I) and in 229 patients undergoing cardiac catheterization (group II). Corrected right ventricular pre-ejection period (RPEPC) and right ventricular ejection time (RVETc) (based on regression analysis of group I) and RPEP/RVET were each correlated with pulmonary artery (PA) diastolic and mean pressures and pulmonary vascular resistance (PVR). The best correlation (0.83) was between a second degree polynomial of the RPEP/RVET and PA diastolic pressure. The RPEP/RVET allowed prediction of PA diastolic pressure within 10 mm Hg in 85% of the patients. The utility of RPEP/RVET was confirmed in sequential data of 22 patients, in whom alteration in RPEP/RVET accurately reflected the changing PA diastolic pressure. The RPEP/RVET could not be used to assess PA pressure in six patients with congestive cardiomyopathy nor in 18 patients with complete right bundle branch block (CRBBB).

摘要

超声心动图用于测量85名正常儿童(I组)和229名接受心导管检查的患者(II组)的右心室收缩时间间期(RVSTI)。校正后的右心室射血前期(RPEPC)和右心室射血时间(RVETc)(基于I组的回归分析)以及RPEP/RVET分别与肺动脉(PA)舒张压、平均压和肺血管阻力(PVR)相关。RPEP/RVET的二次多项式与PA舒张压之间的相关性最佳(0.83)。RPEP/RVET能够在85%的患者中预测PA舒张压,误差在10 mmHg以内。在22例患者的连续数据中证实了RPEP/RVET的实用性,其中RPEP/RVET的变化准确反映了PA舒张压的变化。RPEP/RVET不能用于评估6例充血性心肌病患者和18例完全性右束支传导阻滞(CRBBB)患者的PA压力。

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Assessment of the pulmonary vascular bed by echocardiographic right ventricular systolic time intervals.通过超声心动图右心室收缩时间间期评估肺血管床
Circulation. 1978 May;57(5):939-47. doi: 10.1161/01.cir.57.5.939.
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Heart Vessels. 1999;14(5):232-9. doi: 10.1007/BF01747852.
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Relation between isovolumic relaxation period of left ventricle and pulmonary artery pressure in d-transposition of the great arteries.大动脉d-转位时左心室等容舒张期与肺动脉压的关系。
Br Heart J. 1980 Feb;43(2):226-31. doi: 10.1136/hrt.43.2.226.
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Contrast echocardiographic features of pulmonary hypertension and regurgitation.肺动脉高压和反流的对比超声心动图特征。
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