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|本期目录/Table of Contents|

多普勒组织成像检测肥厚型心肌病与高血压性心脏病的参数比较(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2007年第6期
页码:
696-698
栏目:
临床研究
出版日期:
2007-12-20

文章信息/Info

Title:
Assessment of left ventricular function with Doppler tissue imaging in patients with hypertrophic cardiomyopathy and hypertensive heart disease
作者:
温德惠1; 孙志丹2; 王义成1; 郜新春1; 刘俊峰1
1.河北北方学院附属第一医院超声科，河北 张家口 075000；2.辽宁医学院附属一院超声科，辽宁 锦州 121000
Author(s):
WEN De-hui;  SUN Zhi-dan; WANG Yi-cheng; GAO Xin-chun; LIU Jun-feng
Department of Medical Ultrasound, First Affiliate Hospital, Hebei North University, Zhangjiakou 075000,Hebei, China
关键词:
多普勒组织成像; 心肌病; 肥厚型; 高血压; 左室功能
Keywords:
Doppler tissue imaging; hypertrophic cardiomyopathy; hypertension; left ventricular function
分类号:
R445.1；R542.2
DOI:
-
文献标识码:
A
摘要:
目的 初步探讨多普勒组织成像技术（TDI）对肥厚型心肌病（HCM）与高血压性心脏病鉴别诊断的临床价值。方法 应用TDI技术对HCM患者、高血压性心脏病患者及正常人分别测量二尖瓣环收缩期峰值速度（Vs）、舒张早期峰值速度（Ve）及舒张晚期峰值速度（Va）。常规超声检查测得左室射血分数（LVEF）、左室短轴缩短率（FS）、二尖瓣口血流峰值速度E、A，计算E／A。结果 HCM组、高血压性心脏病组各峰值速度均减低，与正常组比较差异有显著性意义(P<0.05)；HCM组部分心肌节段峰值速度与高血压性心脏病组比较有显著性差异(P<0.05)。结论 TDI技术对HCM与高血压性心脏病鉴别诊断提供可行、实用的信息。
Abstract:
AIM To determine the differential diagnosis between hypertrophic cardiomyopathy (HCM) and hypertensive heart disease by Doppler tissue imaging (DIT). METHEDS The systolic and diastolic peak velocities of mitral annular（Vs, Ve, Va）were measured by DTI in 4chamber, 2chamber and long axis apical view in the normal group, HCM group and hypertensive heart disease group. RESULTS The systolic and early diastolic peak velocities of mitral annular（Vs, Ve） in the HCM group and the hypertensive heart disease group were significantly lower than those in the normal group. Part of the peak velocities of Vs and Ve of regional myocardium in the HCM group were significantly different from those in the hypertensive heart disease group (P<0.05). CONCLUSION DTI can be a useful tool in differentiating HCM and hypertensive heart disease.

参考文献/References

［1］ Ommen SR,Nishimura RA,Appleton CP,et al. Clinical utility of Doppler echocardiography and tissue Doppler imaging in the estimation of left ventricular filling pressure：A comparative simultaneous Dopplercatheterization study［J］. Circulation, 2000,102（15）：1788-1794.

［2］ 周永昌，郭万学，徐南图，等.超声医学 ［M］.第2版.北京：科学技术文献出版社， 1998:549-550.

［3］ Cohen A. The best in 2000 on echocardiography［J］. Arch Mal Coeur Vaiss, 2001, 94(1):27-39.

［4］ McMahon CJ，Nagueh SF，Pignatelli RH，et al. Charaterization of left ventricular diastolic function dy tissue Doppler imaging and clinical status in children with hypertrophic cardiomyopathy［J］. Circulation,2004,109（14）：1756-1762.

［5］ Skarvan K，Filipovic M，Wang J，et al. Use of myocardial tissue Doppler imaging for intraoperative monitoring of left ventricular function［J］. Br J Anaesth,2003,91（4）：473-480.

［6］ Matsumoto AY, Arteaga E, Ianni BM, et al. Relationships among exercise capacity, hypertrophy, and left ventricular diastolic function in nonobstructive hypertrophic cardiomyopathy［J］. Am Heart J,2005,150(1):144-149.

备注/Memo

备注/Memo:
收稿日期：2006-11-16.作者简介：温德惠，主治医师，硕士生 Email：jzyxywdh2004yahoo.com.cn.
更新日期/Last Update: