Gómez Doblas J J, de Teresa E, Lamas G A
Servicio de Cardiología, Hospital Universitario Virgen de la Victoria, Málaga.
Rev Esp Cardiol. 1999 Jan;52(1):47-52.
In the last years there has been an appreciation of the importance of left ventricular geometry. After a period, in the sixties and seventies, that the interest was focused on cardiac physiology and the left ventricular geometry role about this subject, new studies are available on clinical significance of normal or distorted left ventricular shape. New assessment methods of ventricular geometry have been described. The use of simple measurements to assess ventricular geometry has allowed to know the clinical value of the shape distortion in patients with heart failure. The suspicion that left ventricular shape change to sphericity has prognosis value, has raised the interest about this subject. Whether distortion of left ventricular shape is an even better parameter than cardiac function indices normally used is under consideration. Moreover, new surgical therapies have been developed in an attempt to improve the ventricular geometry and to get better clinical prognosis in patients with heart failure.
在过去几年里，左心室几何形态的重要性已得到重视。在六七十年代，人们的兴趣集中在心脏生理学以及左心室几何形态在此方面的作用，之后，关于正常或变形的左心室形态的临床意义出现了新的研究。已经描述了心室几何形态的新评估方法。使用简单测量来评估心室几何形态，使得了解心力衰竭患者形态变形的临床价值成为可能。左心室形态变为球形具有预后价值这一怀疑，引发了对此主题的兴趣。左心室形态变形是否是比通常使用的心脏功能指标更好的参数正在被考虑。此外，已经开发了新的外科治疗方法，试图改善心室几何形态并使心力衰竭患者获得更好的临床预后。
