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三维斑点追踪成像技术评价不同左心室构型高血压患者左心室收缩功能 被引量:6

Three-dimensional speckle tracking image in evaluation on left ventricular systolic function in patients with different patterns of hypertension
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摘要 目的探讨三维斑点追踪成像(3D-STI)技术评价不同左心室构型高血压患者左心室收缩功能的价值。方法随机抽取原发性高血压患者90例和30名健康志愿者(N组),根据Ganan分类方法将原发性高血压患者分为正常构型组40例(Ⅰ组)、向心性重构组20例(Ⅱ组)、向心性肥厚组15例(Ⅲ组)及离心性肥厚组15例(Ⅳ组)。采用3D-STI技术获取左心室整体纵向收缩期峰值应变(GLS)、径向收缩期峰值应变(GRS)、圆周收缩期峰值应变(GCS)、面积收缩期峰值应变(GAS)及左心室射血分数(LVEF),并分析各组间参数的变化规律。结果 GAS随着左心室重构程度加重呈逐渐递减趋势(P<0.05),Ⅰ组GAS峰值小于N组(P<0.05);Ⅱ、Ⅲ组GLS峰值低于N、Ⅰ组(P<0.05);Ⅱ组GRS峰值高于其余各组(P<0.05);Ⅳ组GLS、GRS、GCS、GAS峰值均低于其余各组(P<0.05)。左心室GLS、GCS、GAS、GRS与LVEF相关(r=-0.42、-0.50、-0.58、0.41,P均<0.05)。结论 3D-STI技术为分析不同左心室构型高血压患者的心肌形变提供了新方法。 Objective To evaluate the left ventricular systolic function of different patterns of hypertension by using three-dimensional speckle tracking imaging (3D-STI). Methods Totally 90 hypertension patients and 30 normal subjects (group N) were enrolled. According to Ganan classification, hypertension patients were classified into normal geometry (group I , n= 40), concentric remodeling (group II , n= 20), concentric hypertrophy (group Ⅲ , n= 15) and eccentric hy- pertrophy (group IV, n=15). Parameters of left ventricular systolic function, including global longitudinal peak systolic strain (GLS), global radical strain (GRS), global circumferential strain (GCS), global area strain (GAS) and left ventric- ular ejection fraction (LVEF) were analyzed. Results GAS decreased with the severity of left ventricular remodeling (P〈 0.05). Compared with group N, GAS significantly decreased in group I (P〈0.05). GLS in group Ⅱ and Ⅲ were lower than that in group N and group I (all P〈0. 05). GRS in groupⅡ were significantly higher than that in other groups (all P〈0.05). Indicators of GLS, GCS, GAS, GRS in group IV were lower than those of the other groups (all P〈0.05). In addition, GLS, GCS, GAS, GRS showed correlation with LVEF (r= --0.42, --0.50, --0.58, 0.41, all P〈0.05). Con- clusion 3D-STI is a convenient noninvasive method for evaluation on left ventricular systolic function in patients with dif- ferent patterns of hypertension.
出处 《中国医学影像技术》 CSCD 北大核心 2013年第11期1814-1818,共5页 Chinese Journal of Medical Imaging Technology
基金 首都临床特色应用研究基金(Z121107001012143)
关键词 三维斑点追踪成像 心室功能 高血压 Three-dimensional speckle tracking imaging Ventricular function, left Hypertension
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参考文献11

  • 1Huang SJ, Orde S. From speckle tracking echocardiography to torsion: Research tool today, clinical practice tomorrow. Curr Opin Crit Care, 2013,19(3):250-257.
  • 2Ganau A, Devereux RB, Roman MJ, et al. Patterns of left ventricular hypertrophy and geometric remodeling in essential hypertension. J Am Coll Cardiol, 1992,19(7):1550-1558.
  • 3Ito K,Noma M,Mohri M,et al. Mitral annulus displacement measured by tissue-tracking method with Doppler-tissue images is a useful marker of the severity of heart failure. J Cardiol, 2007,50(3):159-166.
  • 4Wen H, Liang Z, Zhao Y, et al. Feasibility of detecting early left ventricular systolic dysfunction using global area strain: A novel index derived from three-dimensional speckle-tracking echocardiography. Eur J Echocardiogr, 2011,12(12):910-916.
  • 5Perez de Isla L, Montes C, Monzón T, et al. 3D-wall motion tracking: A new tool for myocardial contractility analysis. J Cardiovasc Med (Hagerstown), 2010 Oct 16..
  • 6Tee M, Noble JA, Bluemke DA. Imaging techniques for cardiac strain and deformation: Comparison of echocardiography, cardiac magnetic resonance and cardiac computed tomography. Expert Rev Cardiovasc Ther, 2013,11(2):221-231.
  • 7Torrent-Guasp F, Kocica MJ, Corno AF, et al. Towards new understanding of the heart structure and function. Eur J Cardiothorac Surg, 2005,27(2):191-201.
  • 8巩晓红,王建华,王露芳,李增平,张利敏.斑点追踪成像技术评价原发性高血压患者左室心肌分层应变的研究[J].临床心血管病杂志,2011,27(11):861-864. 被引量:13
  • 9何秀波,谌谨寰,冯国军.糖尿病性心肌病与高血压性心脏病左心功能的对比观察[J].中国医学影像技术,2010,26(8):1470-1473. 被引量:10
  • 10Seo Y, Ishizu T, Enomoto Y, et al. Endocardial surface area tracking for assessment of regional LV wall deformation with 3D speckle tracking imaging. JACC Cardiovasc Imaging, 2011,4(4):358-365.

二级参考文献23

共引文献21

同被引文献58

  • 1李真真,王志斌,孙品,聂晶,李艳,付秀秀,张金慧.二维应变成像技术评价左心室构型正常高血压患者的心肌功能[J].中华医学超声杂志(电子版),2013,10(1):52-58. 被引量:7
  • 2中国血压测量工作组.中国血压测量指南[J].中华高血压杂志,2011.19:1101-1115.
  • 3Gather JR, Cobin RH, Gharih H, el al. Clinical practice guide lines for hypothyroid in adults: Cosponsored by the American As- sociation of Clinical Endocrinologists and the American Thyroid Association. Thyroid, 2012,22(12) : 1200 -1235.
  • 4Devhar M, Ousman YH, Burman KD. Hypothroidism. Endocri nol Mmab Clin North Am, 2007,36(3):595-615.
  • 5Gj C, Manowitz NH, Mayor GM, et al. The Colorado thyroid disease prevalence study. Arch Intern Med, 2000,160(4) :526 -531.
  • 6Tanaka H, Matsumoto K, Hiraishi M. el al. Multidireetional left ventricular performance detected with three-dimensional speckle-- tracking strain in patients with chronic righl ventricular pacing and preserved ejection fraction. Eur Heart J Cardiovasc Imaging, 2012, 13(10) :849-856.
  • 7Hong KY, Wei Y, Daniel KI,, et al. New three-dimensional speckle tracking echocardiography identifies global impairment of left ventricular mechanics with a high sensitivity in childhood cancer survivors. J Am Soc Echoardiogr, 2013,26(8) :846-852.
  • 8Gj K, Dillmann WH. Thyroid hormone action in the heart. En docr Rev, 2005,26(5) :704-728.
  • 9Klein I, Danzi S. Thyroid disease and the heart. Circulation, 2007,116(15) :1725-1735.
  • 10Yao J, Eghbali M. Decreased collagen gene expression and ab sence of fibrosis in thyroid hormone-induced myocardial hypertro phy. Response of cardiac fibroblasts to thyroid horomone in vitro. CircRes, 1992,71(4) :831-839.

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