Assessment of left ventricular systolic function in patients with coronary heart disease before and after PCI or CABG with speckle tracking imaging

王丽萍; 夏红梅; 蒋演; 任冰; 李晓渝; 高云华

您当前的位置：

首页 >

文章列表页 >

Assessment of left ventricular systolic function in patients with coronary heart disease before and after PCI or CABG with speckle tracking imaging

更新时间：2026-01-09

- Assessment of left ventricular systolic function in patients with coronary heart disease before and after PCI or CABG with speckle tracking imaging
- Journal of Army Medical University Vol. 34, Issue 8, Pages: 776-780(2012)
- 作者机构：
- 作者简介：
- 基金信息：
- DOI：
  CLC： R540.45;R541.4;R654.2
- Published：2012
- 稿件说明：
移动端阅览
王丽萍,夏红梅,蒋演,任冰,李晓渝,高云华.斑点追踪成像评价冠心病患者CABG或PCI术治疗前后左室收缩功能[J].陆军军医大学学报(原第三军医大学学报),2012,34(08):776-780.

　Wang Liping,Xia Hongmei,Jiang Yan,Ren Bing,Li Xiaoyu,Gao Yunhua.Assessment of left ventricular systolic function in patients with coronary heart disease before and after PCI or CABG with speckle tracking imaging[J].J Amry Med Univ (J Third Mil Med Univ),2012,34(08):776-780.
王丽萍,夏红梅,蒋演,任冰,李晓渝,高云华.斑点追踪成像评价冠心病患者CABG或PCI术治疗前后左室收缩功能[J].陆军军医大学学报(原第三军医大学学报),2012,34(08):776-780. DOI：

　Wang Liping,Xia Hongmei,Jiang Yan,Ren Bing,Li Xiaoyu,Gao Yunhua.Assessment of left ventricular systolic function in patients with coronary heart disease before and after PCI or CABG with speckle tracking imaging[J].J Amry Med Univ (J Third Mil Med Univ),2012,34(08):776-780. DOI：

摘要

目的应用斑点追踪成像技术（speckle tracking imaging，STI）评价冠心病患者行冠脉内支架置入术（percutaneous coronary intervention，PCI）或冠脉搭桥术（coronary artery by pass grafting，CABG）前后不同阶段左心室的局部和整体收缩功能。方法选取新桥医院心内科2010 年11月至2011年10月期间行PCI术治疗的冠心病患者35 例（男性21例，女性14例），年龄（56.1±12.5）岁，选取本院心外科同期行CABG手术治疗的冠心病患者30 例（男性19例，女性11例），年龄（57.8±14.8）岁，分别于手术前3 d、术后1、3、6个月时行超声心动图检查，采集相应时间点的左心室二维图像；另选年龄性别相匹配的48名健康者作为正常对照组；比较分析其常规超声心动图参数、二维应变参数的变化差异，以及各组在各时间点内的相关性。结果 ①冠心病PCI组及CABG组术前常规心脏超声参数（E/A、LVEF）STI，参数（GBLS、GBRS 、GBCS 、Prot apex、Prot base、Ptw）均显著低于正常对照组（P0.05）。②冠心病PCI组术后1、3、6个月各阶段的参数值均较术前增高且呈递增趋势，但仍低于正常对照组（P0.05）；术后各阶段参数值与术前比较差异显著（P0.05）。③冠心病CABG组术后3、6个月STI参数与正常组比较，差异有统计学意义（P0.05），但术后1个月测值较术前比较无明显改善（P0.05）。④PCI及CABG组的GBLS、GBRS、GBCS均与LVEF显著性相关（P0.01）。结论 STI可以定量评价冠心病患者行PCI或CABG手术治疗前后左室局部及整体收缩功能，对评价治疗效果及预后具有重要的临床价值。

Abstract

Objective To assess the regional and global systolic function of left ventricle before and after PCI or CABG with speckle tracking imaging (STI). Methods Thirty-five patients with coronary heart disease (21 males and 14 females with an average age of 56.1±12.5 years) and 30 patients with coronary heart disease (19 males and 11 females with an average age of 57.8±14.8 years) admitted to our hospital from November 2010 to October 2011 for PCI and CABG

respectively

were enrolled in this study. They underwent echocardiography 3 d before operation and 1

6 months after operation. Their left ventricular 2D strain data were collected at the corresponding time points. Forty-eight age- and gender-matched healthy subjects served as a control group. Parameters of routine echocardiography and 2D strain obtained at different time points and their correlation were compared and analyzed. Results The parameters of preoperative routine echocardiography

E/A

GBLS

GBRS

GBCS

Prot apex

Prot base

and Ptw

were significantly lower in PCI group and CABG group than in control group（P0.05）and significantly higher in PCI group 1

and 6 months after operation than in control group（P0.05）. However

no significant difference was found in these parameters 1 month after CABG operation and before operation (P0.05）. The GBLS

GBRS

and GBCS were significantly correlated with the systolic function of left ventricle in PCI and CABG groups（P0.01）. Conclusion STI can be used to assess the regional and global systolic function of left ventricle in patients with coronary heart disease before and after PCI or CABG

and is of important value for the treatment and prognosis of such patients.

关键词

Keywords

references

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Robotic-assisted left thoracic small-incision minimally invasive coronary artery bypass grafting: a case series report

Risk prediction model of in-hospital heart failure in patients with coronary heart disease after percutaneous coronary intervention: development and validation

Correlation between salt taste threshold and severity of coronary heart disease

Correlation of lipoprotein-associated phospholipase A2 and hemoglobin A1c levels with severity of coronary artery disease in diabetic patients

Correlation between plaques at different sites in the carotid arteries and risks of coronary heart disease

Related Author

HE Peiling

SONG Yi

YUAN Ye

WU Wenjun

ZHONG Changming

LIU Chang

CHEN Jianming

HU Yijie

Related Institution

Department of Cardiovascular Surgery， Army Medical Center of PLA/Daping Hospital of Third Military Medical University

⁰