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整体长轴应变检测射血分数正常的重度主动脉瓣反流患者的左心室收缩功能不全

钟新波 王小庆 杨晓涵 陈文斌 赵有生

中国医学创新2016,Vol.13Issue(30):27-30,31,5.
中国医学创新2016,Vol.13Issue(30):27-30,31,5.DOI:10.3969/j.issn.1674-4985.2016.30.007

整体长轴应变检测射血分数正常的重度主动脉瓣反流患者的左心室收缩功能不全

Overall Long Axis Strain Detection of Left Ventricular Systolic Dysfunction in Patients with Normal Ejection Fraction of Severe Aortic Regurgitation

钟新波 1王小庆 1杨晓涵 1陈文斌 1赵有生1

作者信息

  • 1. 广东省深圳市孙逸仙心血管医院 广东 深圳 518000
  • 折叠

摘要

Abstract

Objective:To investigate the two-dimensional speckle tracking detection overall long axis strain of left ventricular systolic dysfunction in patients with normal ejection fraction of severe aortic regurgitation (AR).Method:From June 2013 to December 2015,140 cases of normal ejection fraction of severe AR (including 67 cases of symptoms,accounted for 47.86%) in our hospital were selected as the AR group,another 49 healthy people were selected as the control group.The left ventricular global longitudinal strain(GLS),global circumferential strain(GCS) and global radial strain(GRS) were measured by two dimensional speckle tracking echocardiography.Result:The GLC in AR group was lower than control group,the difference was statistically significant(P<0.01).There were no significant differences in two groups of GCS,GRS and LVEF(P>0.05).The symptomatic AR were lower than those without symptoms AR,the difference was statistically significant(P<0.01). Conclusion:Left ventricular GLS decrease in patients with normal ejection fraction of chronic severe AR,and the symptomatic AR were lower than those without symptoms AR.GLS can detect occult myocardial dysfunction,may help to optimize the timing of aortic valve surgery.

关键词

主动脉瓣反流/斑点追踪/应变/左心室功能

Key words

Aortic regurgitation/Speckle tracking/Strain/Left ventricular function

引用本文复制引用

钟新波,王小庆,杨晓涵,陈文斌,赵有生..整体长轴应变检测射血分数正常的重度主动脉瓣反流患者的左心室收缩功能不全[J].中国医学创新,2016,13(30):27-30,31,5.

基金项目

广东省医学科研基金项目(B2013348);深圳市医疗卫生类科研项目 ()

中国医学创新

1674-4985

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