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应用三维斑点追踪成像技术评价心脏再同步化治疗的短期疗效

杨雨 秦石成 张瑞芳 程安玲

中国临床医学影像杂志2012,Vol.23Issue(4):243-247,5.
中国临床医学影像杂志2012,Vol.23Issue(4):243-247,5.

应用三维斑点追踪成像技术评价心脏再同步化治疗的短期疗效

Assessment of the short-term effects of cardiac resynchronization therapy via three-dimensional speckle tracking imaging

杨雨 1秦石成 1张瑞芳 1程安玲1

作者信息

  • 1. 郑州大学第一附属医院超声科,河南郑州450052
  • 折叠

摘要

Abstract

Objective: To assess the short-term effects of cardiac resynchronization therapy (CRT) via three-dimensional speckle tracking imaging (3D-STI). Methods: Fifteen congestive heart failure patients who underwent CRT and twenty normal volunteers were enrolled. Toshiba Artida 4D system with PST-25SX probe were used to perform 3D-STI in heart failure patients and the controls,and the heart failure patients were studied before and one week,one month,three months after CRT. The left ventricular end diastolic volume(LVEDV),left ventricular end systolic volume(LVESV),left ventricular ejection fraction (LVEF) were obtained. The left ventricular dyssynchrony data sets which include the standard deviation of time to peak area tracking in the 16 left ventricular segments (AT-SD) and the maximum difference of time to peak area tracking in the 16 left ventricular segments (AT-Dif) were also investigated. Two independent samples t test and the ANOVA for one group repeated measures were used to perform the data analysis. Results: Compared with the controls,LVEDV,LVESV,AT-SD and AT-Dif of the heart failure patients were significantly bigger,and LVEF of the heart failure patients were significantly smaller(P<0.05). One week after CRT,the left ventricular dyssynchrony data sets were decreased(P<0.0083); after that,the changes of left ventricular dyssynchrony data sets were not statistically significant (P>0.0083). LVEDV,LVESV descended with the time (P<0.0083); LVEF ascended with the time(P>0.0083). Conclusion: 3D-STI provides valuable information to assess the curative effect of CRT.

关键词

心力衰竭,充血性/超声心动描记术

Key words

Heart failure, congestive/Echocardiography

分类

医药卫生

引用本文复制引用

杨雨,秦石成,张瑞芳,程安玲..应用三维斑点追踪成像技术评价心脏再同步化治疗的短期疗效[J].中国临床医学影像杂志,2012,23(4):243-247,5.

中国临床医学影像杂志

OACSTPCD

1008-1062

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