张嬿,唐红,彭瑛,宋彬,饶莉,吴进,解俊敏,黄鹤.实时三维超声心动图评价高血压病左心室肥厚[J].中国医学影像技术,2006,22(6):883~885
实时三维超声心动图评价高血压病左心室肥厚
Evaluation of left ventricular hypertrophy in patients with essential hypertension using real-time three-dimensional echocardiography
投稿时间:2006-01-16  修订日期:2006-05-10
DOI:
中文关键词:  实时三维超声心动图  高血压病  左心室肥厚
英文关键词:Real-time three-dimensional echocardiography  Essential hypertension  Left ventricular hypertrophy
基金项目:
作者单位E-mail
张嬿 四川大学华西医院心内科,四川 成都 610041  
唐红 四川大学华西医院心内科,四川 成都 610041 hxyyth@vip.sina.com 
彭瑛 四川大学华西医院心内科,四川 成都 610041  
宋彬 四川大学华西医院放射科,四川 成都 610041  
饶莉 四川大学华西医院心内科,四川 成都 610041  
吴进 四川大学华西医院心内科,四川 成都 610041  
解俊敏 四川大学华西医院心内科,四川 成都 610041  
黄鹤 四川大学华西医院心内科,四川 成都 610041  
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中文摘要:
      目的 探讨实时三维超声心动图(RT-3DE)评价高血压病左心室肥厚的可行性及准确性。方法 应用RT-3DE测量22例中老年女性(其中高血压病12例,健康志愿者10例)舒张末期左心室心肌质量,同时从10健康志愿者中抽取8例行心脏磁共振(CMRI)检查并定量舒张末期左心室心肌质量。结果 所有研究对象均获得了具有清晰内、外膜边界的左心室三维图像;RT-3DE测量高血压病组左心室心肌质量为(100.86±16.95) g,对照组为(87.12±11.35) g,二者间有统计学差异(P=0.04);对照组中抽取的8例健康志愿者左心室心肌质量RT-3DE测值为(84.42±7.49) g,CMRI测值为(82.43±6.95) g,二者无统计学差异(P>0.05),且具有良好的相关性(r=0.83,P=0.01)。结论 RT-3DE是一种可行的、准确的评价高血压病左心室肥厚的新方法。
英文摘要:
      Objective To evaluate the feasibility and accuracy of real-time three-dimensional echocardiography (RT-3DE) in the estimation of left ventricular hypertrophy in patients with essential hypertension (EH). Methods Twelve patients with EH and 10 normal control subjects were investigated. Left ventricular mass (LVM) was obtained by RT-3DE in all the subjects. Moreover, 8 patients draw out from the control group were estimated by cardiac magnetic resonance imaging. Results RT-3DE datasets with good endocardial and epicardial contour were acquired in all subjects; Compared with the control group, LVM obtained by RT-3DE in EH were higher (P=0.04); Furthermore, in the 8 patients, LVM obtained by RT-3DE had no significant difference with cardiac MR imaging (P>0.05) and correlated well with cardiac MR imaging (r=0.83, P=0.01). Conclusion RT-3DE is an accurate new technology in evaluation of left ventricular hypertrophy in essential hypertension.
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