期刊文献+

斑点追踪法三尖瓣环位移评估肺高血压患者的右心室功能 被引量:8

Evaluation of Right Ventricular Function in Patients with Pulmonary Hypertension Using Two-Dimensional Speckle Tracking of Tricuspid Annular Displacement
下载PDF
导出
摘要 目的:探讨二维斑点追踪技术测定肺高血压(简称肺高压)患者的三尖瓣环位移(tricuspid annular displacement,TAD)在评估右心室收缩功能方面的临床应用价值。方法:将经胸超声诊断为肺高压的患者共61例分为3个亚组:Ⅰ组(可疑肺高压,n=21),Ⅱ组(肯定肺高压,n=20),Ⅲ组(重度肺高压,n=20)。另选35例年龄相匹配的健康志愿者作对照组。用PhillipSonos iE33超声仪,取心尖四腔观先后采集二维(2D)及实时三维(real-time three-dimension,RT3D)图像,然后将2D图像输入QLAB6.2工作站获取三尖瓣环中点收缩期位移等参数;将RT3D图像输入TomTec工作站,用四维右心室功能分析(4DRVF)软件计算右心室射血分数(RVEF)。结果:TAD各测值与肺动脉收缩压(PASP)中度相关,与3D-RVEF高度相关。肺高压患者TAD各测值均显著低于对照组,各个亚组间TAD各测值比较差异也有统计学意义。TAD在观察者间及观察者内的差异范围分别为(0.05±1.75)mm及(-0.15±1.09)mm。结论:用二维斑点追踪显像技术测定TAD具有快速、准确及重复性好等特点,TAD能客观反映肺高压患者的右心室收缩功能。 Objective:To evaluate the value of tricuspid annular displacement (TAD), based on two-dimensional (2D) speckle tracking imaging, in the assessment of right ventricular (RV) systolic function in patients with pulmonary hypertension (PH). Methods: Sixty-one patients with PH, aged (49.14 ± 17.66) years, were divided into 3 subgroups according to the latest guidelines on standards of diagnosing PH by echocardiography: Group 1 (suspicious PH, n= 21), Group 2 (definite PH, n = 20) and group 3(severe PH, n= 20). They were compared with 35 age-matched [(47.51 ± 12. 19) years] healthy volunteers. 2D and real-time three-dimensional (3D) imaging (Philips iE33, at apical four-chamber view) were obtained in all patients. The parameters of TAD were derived from off-line QLAB software (Philips Medical Systems). 3D-RVEF was calculated by using 4D RV Function software (TomTec Imaging Systems). Results: The parameters of TAD showed a moderate correlation with pulmonary artery systolic pressure (P〈0.01). However, there was a higher correlation between TAD and 3D-RVEF (P〈 0.01). The parameters of TAD in PH group were significantly lower than the corresponding values in healthy subjects (P〈 0.01). The inter-and intra-observer variabilities for measurement of TAD were (0.05 ± 1.75) mm and (-0. 15 ± 1.09) mm, respectively. Conclusions: TAD, based on 2D speckle tracking imaging, proved to be a rapid, accurate and reproducible method in determining RV systolic function.
出处 《中国临床医学》 2012年第5期547-550,共4页 Chinese Journal of Clinical Medicine
基金 上海市卫生局基金资助项目(编号:2009104)
关键词 肺高血压 右心室收缩功能 斑点追踪 三尖瓣环位移 Pulmonary hypertension Right ventricular systolic function Speckle tracking Tricuspid annular displacement
  • 相关文献

参考文献9

  • 1Rudski LG, Lai WW, Afilalo J, et al. Guidelines for the ech- ocardiographic assessment of the right heart in adults: A re port from the American Society of Echoeardiography endorsed by the European Association of Echocardiography, a regis- tered branch of the European Society of Cardiology, and the Canadian Society of Echoeardiography [J]. Am Soe Eehocar- diogr, 2010, 23(7):685- 713.
  • 2Galie N, Hoeper MM, Humbert M, et al. Guidelines for the diagnosis and treatment of pulmonary hypertension: the Task Force for the Diagnosis and Treatment of Pulmonary Hyper- tension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS), endorsed by the Inter national Society o~ Heart and Lung Transplantation (ISHLT) [J]. Eur Heart J, 2009, 30(20):2493-2537.
  • 3Van der Zwaan HB, Geleijnse ML, McGhie JS, et al. Right ventricular quantification in clinical practice= two-dimensional vs. three dimensional echocardiography compared with cardi ac magnetic resonance imaging [J]. Eur J Echocardiogr, 2011, 12(9) :656- 664.
  • 4Van der Zwaan HB, Helbing WA, McGhie JS, et al. Clinical value of real time three-dimensional eehocardiography for right ventricular quantification in congenital heart disease: validation with cardiac magnetic resonance imaging[J]. Am Soe Echocardiogr, 2010, 23(2):134- 140.
  • 5Van der Zwaan HB, Geleijnse ML, Soliman OII, et al. Test- retest variability of volumetric right ventricular measurements using real-time three dimensional echoeardiography[J]. Am Soc Echocardiogr, 2011, 24(6):671-679.
  • 6Ahmad H, Mor-Avi V, Lang RM. Assessment of right yen trieular function using echoeardiographic speckle tracking of the tricuspid annular motion: comparison with cardiac mag- netic resonance[J]. Echocardio, 2012, 29( 1 ) : 19 24.
  • 7吴卫华,黄艳,谢晓奕,马兰,陆静,魏松霞.斑点追踪显像检测三尖瓣环位移评估右心室收缩功能的应用价值[J].中华超声影像学杂志,2009,18(12):1034-1036. 被引量:11
  • 8Ueti OM, Camargo EE, Ueti AA, et al. Assessment of right ventricular function with Doppler echocardiographic indices derived from tricuspid annular motion: Comparison with radi- onuclide angiography[J]. Heart, 2002, 88(3): 244-248.
  • 9Morcos P, Vick GW III, Sahn DJ, et al. Correlation of right ventricular ejection fraction and tricuspid annular plane systolic ex- cursion in tetralogy of Fallot by magnetic resonance imaging[J]. Int J Cardiovasc Imaging, 2009, 25(3):263-270.

二级参考文献8

  • 1朱永胜,Athanassopoulos G,张军,钱蕴秋,周晓东,陈定章,朱霆,Karatasakis G,Cokkinos DV.组织多普勒检测心室收缩功能对判断扩张型心肌病患者预后的价值[J].中华超声影像学杂志,2007,16(6):477-480. 被引量:1
  • 2Forfia PR, Fisher MR, Mathai SC, et al. Tricuspid annular displacement predicts survival in pulmonary hypertension. Am J Respir Crit Care Med,2006,174: 1034-1041.
  • 3Meluzin J, Spinarova I., Bakala J, et al. Pulsed Doppler tissue imaging of the velocily of tricuspid annular systolic motion: a new, rapid, and non invasive method of evaluating right ventricular systolic function. Eur Heart J,2001,22:340- 348.
  • 4DeCara JM.Toledo E,Salgo IS,et al. Evaluation of left ventricular systolic function using automated angle-independent motion tracking of mitral annular displacement. J Am Soc Echocardiogr, 2005, 18: 1266-1269.
  • 5Ueti OM, Camargo EE, Ueti AA, et al. Assessment of right ventricular function with Doppler echocardiographie indices derived from tricuspid annular motion: comparison with radionuclide angiography. Heart, 2002,88 : 244-248.
  • 6Dijk JV, Knaapen P, Bekkering I. et al. Right ventricular dimensions and function in isolaled left bundle branch block:is there evidence of biventricular involvement? Echocardiography,2008,25:457-464.
  • 7方凌云,谢明星,王新房,刘莹莹,付倩,鲍玉婷,路晶,贺林.实时三维超声心动图评价正常人右心室整体和局部功能的临床研究[J].中华超声影像学杂志,2008,17(1):1-4. 被引量:5
  • 8冯郑娟,刘彦军.三尖瓣环M型运动曲线评价右室功能的价值[J].实用医学影像杂志,2008,9(6):384-386. 被引量:5

共引文献10

同被引文献64

  • 1余建群,杨志刚,李真林,张梅,郭应坤,卢春燕.漏斗胸畸形程度对心脏形态和位置等影响的螺旋CT评价[J].中华放射学杂志,2004,38(7):697-700. 被引量:17
  • 2吴棘,郭盛兰,何云,李智贤,潘永寿.Tei指数在超声诊断肺源性心脏病中的价值[J].中国超声医学杂志,2005,21(2):113-115. 被引量:29
  • 3Haddad F, Hunt SA, Rosenthal DN , et al. Right ventricular function in cardinvascular disease, part I: anntomy physiology, aging, and functional assessment of the right venticle. Circulation, 2008 , 117 : 1436-1448.
  • 4Gan CT, Holverda S, Marcus JT, et al. Right ventficular diastolic dysfunction and the acute effects of sildenafil inpulmonary hypertensionpatients. Chest ,2007,132: 11-17.
  • 5Marleen MH, Steendijk P, den Adel B, et al. Characterization of right ventricular function after monocrotaline-induced pulmonary hypertension in the intact rat. Am J Phys Heart Circ physiol, 2006 , 291 :2424-2430.
  • 6Zafrir N, Zingerman B, Solodky A, et al. Use of noninvasive tools inprimary pulmonary hypertefision to assess the correlation of right ventricular function with functional capacity and to predict outcome. Int J Cardiovasc Imaging,2007 ,23 :209-215.
  • 7Pavlopoulos H, Nihoyannopoulos P. Strain and strain rate deformation parameters: from tissue Doppler to 2D speckle tracking. Int J Cardiovasc Imaging,2008 ,24 :479491.
  • 8Kalogeropoulos AP, Georgiopoulou VV, Howell S, et al. Evaluation of right intraventricular dyssnchrony by two-dimensional strain echocardiography in patients with pulmonary atrial hypertension. J Am Soc Echocardiogr, 2008 ,21 : 1028 -1034.
  • 9Tamborini G, Brusoni D, Torres M, et al. Feasibility of a new generation three- dimensional echocardiography for right ventricular volumetric and functional measurements. Am J Cardiol, 2008 , 102 : 499-505.
  • 10Jenkins C, Chan J, Bricknell K, et al. Reproducibility of right ventricular volumes and ejection fraction using real-time three?dimensional echocardiography , comparison with cardiac MRI. Chest, 2007,131: 1844-1851.

引证文献8

二级引证文献31

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部