分子影像学杂志2025，Vol.48Issue(6)：736-741,6.DOI:10.12122/j.issn.1674-4500.2025.06.12
肺动脉高压患者的预后评估:基于二维与三维超声心动图
Prognostic evaluation of pulmonary hypertension patients:based on two dimensional and three dimensional echocardiography
张俊 1王丹 2王智芬 2薛继平 2薛梦华 2张勇 3郭荣荣3
作者信息
- 1. 山西医科大学医学影像学院,山西 太原 030001||山西省肿瘤医院放射治疗科,山西 太原 030013
- 2. 山西省白求恩医院超声科,山西 太原 030032
- 3. 山西省肿瘤医院超声科,山西 太原 030013
- 折叠
摘要
Abstract
Objective To measure parameters related to right heart function using echocardiography,analyze the right heart function of patients with pulmonary hypertension(PH),and explore independent predictive factors for major cardiovascular adverse events(MACE)in PH patients.Methods A retrospective analysis was conducted on 71 patients with pulmonary hypertension who underwent examination in our hospital.All study subjects underwent two-dimensional and three-dimensional echocardiography,and right heart function parameters were recorded.The endpoint of follow-up is the occurrence of MACE.Independent sample t-test was used to compare right heart function parameters between the MACE group and the non MACE group.Cox proportional hazards regression model was used to analyze the independent predictive factors of MACE,and the optimal cutoff value was obtained based on the ROC curve to plot the Kaplan Meier survival curve.Results Compared with the non MACE group,patients in the MACE group showed an increase in PASP,RVEDVI,and RVESVI,while RVEF,ePAC,TAPSE,TAPSE/PASP,and RVFAC all decreased with statistical significance(P<0.05).Cox analysis showed that TAPSE/PASP and ePAC were independent predictive factors for MACE in PH patients.The Kaplan-Meier survival analysis results showed that the incidence of MACE increased when TAPSE/PASP<0.199 mm/mmHg and ePAC<0.138 cm/mmHg(P<0.05).Conclusion The parameters of right heart function in PH patients with MACE are already poor,while TAPSE/PASP and ePAC can independently predict the occurrence of MACE in PH patients.These indicators can help doctors better assess the patient's condition and prognosis.关键词
肺动脉高压/超声心动图/右心功能/预后Key words
pulmonary hypertension/echocardiography/right heart function/prognosis引用本文复制引用
张俊,王丹,王智芬,薛继平,薛梦华,张勇,郭荣荣..肺动脉高压患者的预后评估:基于二维与三维超声心动图[J].分子影像学杂志,2025,48(6):736-741,6.
