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河北省医科大学第二附属医院 心脏内科
纸质出版日期:2023,
网络出版日期:2023-6-30,
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刘裴, 杨蓉. STEMI患者左心功能、左室重构评估中无创左室压力-应变环的临床价值研究[J]. 临床超声医学杂志, 2023,25(6).
Clinical value of non-invasive left ventricular pressure-strain loop in the assessment of left ventricular function and left ventricular remodeling in patients with STEMI[J]. Journal of Clinical Ultrasound in Medicine, 2023,25(6).
刘裴, 杨蓉. STEMI患者左心功能、左室重构评估中无创左室压力-应变环的临床价值研究[J]. 临床超声医学杂志, 2023,25(6). DOI:
Clinical value of non-invasive left ventricular pressure-strain loop in the assessment of left ventricular function and left ventricular remodeling in patients with STEMI[J]. Journal of Clinical Ultrasound in Medicine, 2023,25(6). DOI:
目的:分析急性ST段抬高心肌梗死(STEMI)患者治疗后左心功能、左室重构评估中无创左室压力-应变环(LV-PSL)的临床价值。方法:选定2018年10月至2019年9月接诊的90例STEMI患者作为观察组
选定同期体检中心90例健康体检者作为对比组
检测、比较两组左心功能指标、左室重构指标以及左室整体纵向应变率(GLS)
通过LV-PSL检查测量左室心肌做功指标
比较两组左室心肌做功指标
比较单支、多支冠脉狭窄组左心功能、左室重构指标、GLS、左室心肌做功指标
Spearman相关性分析左室心肌做功指标与GLS、左室射血分数(LVEF)的相关性。结果:观察组左室收缩末期容积(LVESV)、左室舒张末期容积(LVEDV)、整体无效做功(GWW)术前及术后3d均高于对比组
观察组术前及术后3dLVEF、GLS、整体做功效率(GWE)、整体做功指数(GWI)、整体有效做功(GCW)均低于对比组
P<0.05(差异均具有统计学意义)
观察组LVEDV、LVESV、GWW术后3d均低于术前
观察组LVEF、GLS、GWE、GCW、GWI术后3d均高于术前
P<0.05(差异均具有统计学意义)。多支冠脉狭窄组术前及术后3dLVEDV、LVESV、GWW均高于单支冠脉狭窄组
多支冠脉狭窄组术前及术后3dLVEF、GLS、GWE、GCW、GWI均低于单支冠脉狭窄组
P<0.05(差异均具有统计学意义)。GWW与GLS、LVEF均呈负相关性
GWE、GCW、GWI与GLS、LVEF均呈正相关性
P<0.05(差异均具有统计学意义)。结论:STEMI患者LV-PSL参数与GLS、LVEF存在一定相关性
通过LV-PSL检查
可准确评估患者左心功能、左室重构
具有一定的临床价值。
Objective: To analyze the clinical value of the noninvasive left ventricular pressure-strain ring (LV-PSL) in the evaluation of left ventricular pressure-strain ring (LV-PSL) after treatment of patients with acute ST-segment elevation myocardial infarction (STEMI). Methods: 90 patients with STEMI who were treated from October 2018 to September 2019 were selected as the observation group
and 90 healthy examinees from the physical examination center in the same period were selected as the comparison group
and the left heart function index
left ventricular reconstruction index and left ventricular overall longitudinal response rate (GLS) were detected and compared
the left ventricular myocardial work function index (GLS) was measured by LV-PSL examination
the left ventricular myocardial work function index was compared between the two groups
and the left ventricular remodeling index
left ventricular remodeling index
GLS
Left ventricular myocardial work indicators
Spearman correlation analysis of left ventricular myocardial work indicators and GLS
left ventricular ejection fraction (LVEF) correlation. Results: The left ventricular end-systolic volume (LVESV)
left ventricular end-diastolic volume (LVEDV)
and global invalid work (GWW) in the observation group were higher than those in the control group before and 3 days after operation. Work efficiency (GWE)
overall work index (GWI)
and overall effective work (GCW) were all lower than those in the control group
P<0.05 (all differences were statistically significant). Before operation
the LVEF
GLS
GWE
GCW and GWI of observation group were higher than those before operation 3 days after operation
P<0.05 (the differences were all statistically significant). The preoperative and postoperative 3dLVEDV
LVESV
and GWW of the multivessel coronary stenosis group were higher than those of the single coronary stenosis group
and the preoperative and postoperative 3dLVEF
GLS
GWE
GCW
and GWI of the multivessel coronary stenosis group were lower than those of the single coronary stenosis group. Coronary artery stenosis group
P<0.05 (all differences were statistically significant). GWW was negatively correlated with GLS and LVEF
and GWE
GCW and GWI were positively correlated with GLS and LVEF
P<0.05 (all differences were statistically significant). Conclusion: Lv-PSL parameters in STEMI patients have a certain correlation with GLS and LVEF
and LV-PSL examination can accurately assess the left heart function and left ventricular remodeling of patients through LV-PSL examination
which has certain clinical value.
无创左室压力-应变环急性ST段抬高心肌梗死左心功能左室重构
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