超声心动图评估房间隔缺损右心功能的临床应用进展

鲁瀚嵘; 计晓娟

doi:10.11659/jjssx.11E022150

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超声心动图评估房间隔缺损右心功能的临床应用进展

综述 | 更新时间：2023-04-24

- 超声心动图评估房间隔缺损右心功能的临床应用进展
- Progress on the clinical application of echocardiography in the assessment of right ventricular function in patients with atrial septal defect
- 局解手术学杂志 2023年32卷第4期页码：354-357
- 作者机构：
  
  重庆医科大学附属儿童医院超声科/儿童发育疾病研究教育部重点实验室/国家儿童健康与疾病临床医学研究中心/儿童发育重大疾病国家国际科技合作基地/儿童感染免疫重庆市重点实验室，重庆400014
- 作者简介：
  
  计晓娟，E-mail：jixiaojuan2003＠163.com
- 基金信息：
  
  重庆市卫生健康委员会卫生适宜技术推广项目(2021jstg007)
- DOI：10.11659/jjssx.11E022150
  中图分类号： R541;R540.4+5
- 纸质出版日期：2023-04-25，
  
  收稿日期：2022-11-28，
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鲁瀚嵘,计晓娟.超声心动图评估房间隔缺损右心功能的临床应用进展[J].局解手术学杂志,2023,32(04):354-357.

LU Han-rong,JI Xiao-juan.Progress on the clinical application of echocardiography in the assessment of right ventricular function in patients with atrial septal defect[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(04):354-357.
鲁瀚嵘,计晓娟.超声心动图评估房间隔缺损右心功能的临床应用进展[J].局解手术学杂志,2023,32(04):354-357. DOI： 10.11659/jjssx.11E022150.

LU Han-rong,JI Xiao-juan.Progress on the clinical application of echocardiography in the assessment of right ventricular function in patients with atrial septal defect[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(04):354-357. DOI： 10.11659/jjssx.11E022150.

摘要

房间隔缺损（ASD）是常见的左向右分流型先天性心脏病(CHD)，血流动力学变化主要为右心容量负荷增加。目前对于心脏功能的评价主要集中于左心室，随着超声心动图新技术的发展，筛选出新的右心功能评估指标和方法辅助临床更好地制定诊疗策略、判断预后逐渐成为了研究热点。

Abstract

Atrial septal defect （ASD） is a common left-to-right shunt congenital heart disease （CHD）.The increase of right heart volume load is the major hemodynamic change.At present，the evaluation of cardiac function mainly focuses on the left ventricle.With the development of new technology of echocardiography，screening out new indicators and methods for the assessment of right ventricular function has gradually become a research hotspot to assist clinical practice in making better diagnosis and treatment strategies and judging prognosis.

关键词

超声心动图房间隔缺损心功能右心室右心房

Keywords

echocardiographyatrial septal defectcardiac functionright ventricleright atrium

references

陈树宝，刘锦纷，孙锟，等.先天性心脏病影像诊断学［M］.北京：人民卫生出版社，2014：219.

Chaithra S，Agarwala S，Ramachandra NB.High-risk genes involved in common septal defects of congenital heart disease［J］.Gene，2022，840：146745.doi：10.1016/j.gene.2022.146745http://dx.doi.org/10.1016/j.gene.2022.146745.

Cossío-Aranda J，Zamora KD，Nanda NC，et al.Echocardiographic correlates of severe pulmonary hypertension in adult patients with ostium secundum atrial septal defect［J］.Echocardiography，2016，33（12）：1891-1896.doi：10.1111/echo.13358http://dx.doi.org/10.1111/echo.13358.

Augustine DX，Coates-Bradshaw LD，Willis J，et al.Echocardiographic assessment of pulmonary hypertension：a guideline protocol from the British Society of Echocardiography［J］.Echo Res Pract，2018，5（3）：G11-G24.doi：10.1530/ERP-17-0071http://dx.doi.org/10.1530/ERP-17-0071.

Rudski LG，Lai WW，Afilalo J，et al.Guidelines for the echocardiographic assessment of the right heart in adults：a report from the American Society of Echocardiography endorsed by the European Association of Echocardiography，a registered branch of the European Society of Cardiology，and the Canadian Society of Echocardiography［J］.J Am Soc Echocardiogr，2010，23（7）：685-713.doi：10.1016/j.echo. 2010.05.010http://dx.doi.org/10.1016/j.echo.2010.05.010.

Lang RM，Badano LP，Mor-Avi V，et al.Recommendations for cardiac chamber quantification by echocardiography in adults：an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging［J］.J Am Soc Echocardiogr，2015，

16（3）：233-270.doi：10.1093/ehjci/jev014http://dx.doi.org/10.1093/ehjci/jev014.

Puntmann VO，Valbuena S，Hinojar R，et al.Society for Cardiovascular Magnetic Resonance （SCMR） expert consensus for CMR imaging endpoints in clinical research：part I - analytical validation and clinical qualification［J］.J Cardiovasc Magn Reson，2018，20（1）：67.doi：10.1186/s12968-018-0484-5http://dx.doi.org/10.1186/s12968-018-0484-5.

Dragulescu A，Grosse-Wortmann L，Redington A，et al.Differential

effect of right ventricular dilatation on myocardial deformation in

patients with atrial septal defects and patients after tetralogy of Fallot repair［J］.Int J Cardiol，2012，168（2）：803-810.doi：10.1016/j.ijcard.2012.10.009http://dx.doi.org/10.1016/j.ijcard.2012.10.009.

Roberson DA，Cui W，Chen Z，et al.Annular and septal Doppler tissue imaging in children：normal z-score tables and effects of age，heart rate，and body surface area［J］.J Am Soc Echocardiogr，2007，20（11）：1276-1284.doi：10.1016/j.echo.2007.02.023http://dx.doi.org/10.1016/j.echo.2007.02.023.

Škulec R，Parizek T，Stadlerova B，et al.Subcostal TAPSE measured by anatomical M-mode：prospective reliability clinical study in critically ill patients［J］.Minerva Anestesiol，2021，87（11）：1200-1208.doi：10.23736/S0375-9393.21.15464-1http://dx.doi.org/10.23736/S0375-9393.21.15464-1.

Kowalik E，Kowalski M，Hoffman P.Is right ventricular myocardial

deformation affected by degree of interatrial shunt in adults？［J］.Eur J Echocardiogr，2011，12（5）：400-405.doi：10.1093/ejechocard/jer036http://dx.doi.org/10.1093/ejechocard/jer036.

Akula VS，Durgaprasad R，Velam V，et al.Right ventricle before and after atrial septal defect device closure［J］.Echocardiography，2016，33（9）：1381-1388.doi：10.1111/echo.13250http://dx.doi.org/10.1111/echo.13250.

Lee JZ， Low SW， Pasha AK，et al.Comparison of tricuspid annular plane systolic excursion with fractional area change for the evaluation of right ventricular systolic function：a meta-analysis［J］.Open Heart，2018，5（1）：e000667.doi：10.1136/openhrt-2017-000667http://dx.doi.org/10.1136/openhrt-2017-000667.

Magunia H，Schmid E，Hilberath JN，et al.2D echocardiographic evaluation of right ventricular function correlates with 3D volumetric models in cardiac surgery patients［J］.J Cardiothorac Vasc Anesth，2017，31（2）：595-601.doi：10.1053/j.jvca.2016.11.020http://dx.doi.org/10.1053/j.jvca.2016.11.020.

Meng H，Song W，Liu S，et al.Right Ventricular diastolic performance in patients with chronic thromboembolic pulmonary hypertension

assessed by echocardiography［J］.Front Cardiovasc Med，2021，8：755251.doi：10.3389/fcvm.2021.755251http://dx.doi.org/10.3389/fcvm.2021.755251.

Harrod KK，Rogers JL，Feinstein JA，et al.Predictive modeling of secondary pulmonary hypertension in left ventricular diastolic dysfunction［J］.Front Physiol，2021，12：666915.doi：10.3389/fphys.2021.666915http://dx.doi.org/10.3389/fphys.2021.666915.

Wu VC，Takeuchi M.Echocardiographic assessment of right ventricular systolic function［J］.Cardiovasc Diagn Ther，2018，8（1）：70-79.doi：10.21037/cdt.2017.06.05http://dx.doi.org/10.21037/cdt.2017.06.05.

Márquez-González H，Vargas MH，Yáñez-Gutiérrez L，et al.Tei index is the best echocardiographic parameter for assessing right ventricle function in patients with unrepaired congenital heart diseases with outflow tract obstruction［J］.Front Pediatr，2018，6：181.doi：10.3389/fped.2018.00181http://dx.doi.org/10.3389/fped.2018.00181.

朱秀若，朱秀梅，张建华，等.TDI-Tei指数对CHD患者右心室功能的评价研究［J］.中国妇幼健康研究，2017，28（6）：728-730.doi：10.3969/j.issn.1673-5293.2017.06.037http://dx.doi.org/10.3969/j.issn.1673-5293.2017.06.037.

Ogihara Y，Yamada N，Dohi K，et al.Utility of right ventricular Tei-index for assessing disease severity and determining response to treatment in patients with pulmonary arterial hypertension［J］.J Cardiol，2014，63（2）：149-153.doi：10.1016/j.jjcc.2013.07.002http://dx.doi.org/10.1016/j.jjcc.2013.07.002.

Addetia K，Muraru D，Veronesi F，et al.3-dimensional echocardiographic analysisof the tricuspid annulus provides new insights into tricuspid valve geometry and dynamics［J］.JACC Cardiovasc Imaging，2019，12（3）：401-412.doi：10.1016/j.jcmg.2017.08.022http://dx.doi.org/10.1016/j.jcmg.2017.08.022.

Kou S，Caballero L，Dulgheru R，et al.Echocardiographic reference ranges for normal cardiac chamber size：results from the NORRE study［J］.Eur Heart J Cardiovasc Imaging，2014，15（6）：680-690.doi：10.1093/ehjci/jet284http://dx.doi.org/10.1093/ehjci/jet284.

Sharen GW，Zhang J，Qin C，et al.Dynamic characteristic mechanism of atrial septal defect using real-time three-dimensional echocardiography and evaluation of right ventricular functions［J］.J Huazhong Univ Sci Technolog Med Sci，2017，37（1）：140-147.doi：10.1007/s11596-017-1707-yhttp://dx.doi.org/10.1007/s11596-017-1707-y.

贾善隆，程东升，王丽红.二维、三维超声心动图在房间隔缺损封堵术中的对比性研究［J］.医学影像学杂志，2021，31（2）：212-215.

Ko SF，Liang CD，Yip HK，et al.Amplatzer septal occluder closure of atrial septal defect：evaluation of transthoracic echocardiography，cardiac CT，and transesophageal echocardiography［J］.AJR Am J Roentgenol，2009，193（6）：1522-1529.doi：10.2214/AJR.09.2854http://dx.doi.org/10.2214/AJR.09.2854.

Liu BY，Wu WC，Zeng QX，et al.The value of three-dimensional echocardiography in risk stratification in pulmonary arterial hypertension：a cross-sectional study［J］.Int J Cardiovasc Imaging，2020，36（4）：577-584.doi：10.1007/s10554-019-01743-1http://dx.doi.org/10.1007/s10554-019-01743-1.

Cameli M，Mandoli GE，Sciaccaluga C，et al.More than 10 years of speckle tracking echocardiography：still a novel technique or a definite tool for clinical practice？［J］.Echocardiography，2019，36（5）：958-970.doi：10.1111/echo.14339http://dx.doi.org/10.1111/echo.14339.

Menting ME，van den Bosch AE，McGhie JS，et al.Ventricular myocardial deformation in adults after early surgical repair of atrial septal

defect［J］.Eur Heart J Cardiovasc Imaging，2015，16（5）：549-557.doi：10.1093/ehjci/jeu273http://dx.doi.org/10.1093/ehjci/jeu273.

韦馨，唐红，陈柳，等.血流向量成像技术在房间隔缺损右房流场可视化及肺体循环血流量比定量中的价值［J］.四川大学学报（医学版），2012，43（02）：275-279.doi：10.13464/j.scuxbyxb. 2012.02.013http://dx.doi.org/10.13464/j.scuxbyxb.2012.02.013.

经食道超声心动图临床应用的中国专家共识专家组.卵圆孔未闭右心声学造影中国专家共识［J］.中国循环杂志，2022，37（5）：449-458.doi：10.3969/j.issn.1000-3614.2022.05.001http://dx.doi.org/10.3969/j.issn.1000-3614.2022.05.001.

Kutty S，Olson J，Danford CJ，et al.Ultrasound contrast and real-time perfusion in conjunction with supine bicycle stress echocardiography for comprehensive evaluation of surgically corrected congenital heart disease［J］.Eur Heart J Cardiovasc Imaging，2012，13（6）：500-509.doi：10.1093/ejechocard/jer287http://dx.doi.org/10.1093/ejechocard/jer287.

Wu W，Liu B，Huang M，et al.The role of four-dimensional automatic right ventricular quantification technology to determine RV function and hemodynamics in patients with pulmonary hypertension compared with right heart catheterization［J］.Front Cardiovasc Med，2021，8：628610.doi：10.3389/fcvm.2021.628610http://dx.doi.org/10.3389/fcvm.2021.628610.

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