重庆医学2018，Vol.47Issue(5)：650-653,4.DOI:10.3969/j.issn.1671-8348.2018.05.023
实时三维超声心动图对行急诊PCI的左心室室壁瘤患者短期疗效的评估
Evaluation of real-time three-dimensional echocardiography on short term curative effect of emergency percutaneous coronary intervention in patients with left ventricular aneurysm
张明珠 1张璐 2任凤霞 2刘天蕊 2邓爱云2
作者信息
- 1. 山西师范大学医院超声室,山西临汾 041000
- 2. 兰州大学第一医院心内科,甘肃兰州 730000
- 折叠
摘要
Abstract
Objective To use real-time three-dimensional echocardiography(RT-3DE) to compare the cardiac function related indicators between before operation and at postoperative 2 months in the patients with left ventricular aneurysm(LVA) undergoing emergency percutaneous coronary intervention(PCI),and to assess the PCI short term effect.Methods RT-3DE was applied to observe the left ventricular end-diastolic volume(LVEDV),end systolic volume(LVESV),cardiac output(CO),end-diastolic volume index(EDVI),end systolic volume index (ESVI),cardiac index (CI),left ventricular ejection fraction (LVEF) and left ventricular spherical index(SPI) before operation and at postoperative 2 months in 31 cases of acute anterior myocardial infarction(AAMI) complicating LVA.The patients were divided into the functional LVA group(A),anatomical LVA group (B) and complicating thrombus LVA group(C).The cardiac function parameters in various groups conducted the intra-group and inter group comparisons.Results Compared with before operation,LVEF at postoperative 2 months in the group A was increased and SPI was decreased(P＜0.05);CO,CI and LVEF before operation and at postoperative 2 months in the group B were increased and SPI was decreased(P＜0.05);SPI at postoperative 2 months in the group C was decreased(P＜0.05);EF and SPI before operation and at postoperative 2 months had no statistical difference among 3 groups(P＞0.05).SPI before operation and at postoperative 2 months was negatively correlated with LVEF and positively correlated with EDV,ESV,EDVI,ESVI,CO and CI.Conclusion The left ventricular morphology and overall systolic function at 2 months after PCI in the patients with functional and anatomical LVA are improved,but the curative effect in the patients with complicating thrombus LVA is unobvious.关键词
实时三维超声心动图/左心室室壁瘤/左心室功能/球形指数/冠状动脉介入治疗Key words
real-time three-dimensional echocardiography/left ventricular aneurysm/left ventricular function/spherical index/Percutaneous coronary intervention分类
医药卫生引用本文复制引用
张明珠,张璐,任凤霞,刘天蕊,邓爱云..实时三维超声心动图对行急诊PCI的左心室室壁瘤患者短期疗效的评估[J].重庆医学,2018,47(5):650-653,4.
