王其海,汪太平,徐岩,李胜,史学功,金朝龙.斑点追踪成像技术评价缺血心肌短轴方向径向及圆周应变[J].中国医学影像技术,2009,25(8):1411~1414
斑点追踪成像技术评价缺血心肌短轴方向径向及圆周应变
Speckle tracking imaging evaluation of radial strain and circumferential strain from the left ventricular short-axis views in myocardial ischemia
投稿时间:2009-01-22  修订日期:2009-04-12
DOI:
中文关键词:  心肌缺血  超声心动描记术  斑点追踪技术
英文关键词:Myocardial ischemia  Echocardiography  Speckle tracking imaging
基金项目:
作者单位E-mail
王其海 安徽医科大学第一附属医院心血管内科,安徽 合肥 230022  
汪太平 安徽医科大学第一附属医院心血管内科,安徽 合肥 230022  
徐岩 安徽医科大学第一附属医院心血管内科,安徽 合肥 230022 anhui-xuyan@hotmail.com 
李胜 安徽医科大学第一附属医院心血管内科,安徽 合肥 230022  
史学功 安徽医科大学第一附属医院心血管内科,安徽 合肥 230022  
金朝龙 安徽医科大学第一附属医院心血管内科,安徽 合肥 230022  
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中文摘要:
       目的 应用超声斑点追踪成像技术(STI)评价心肌缺血患者左心室节段心肌径向应变(RS)、圆周应变(CS)的变化规律。方法 对56例心肌缺血患者及31名健康自愿者应用超声心动图仪获得高频帧二维图像,测量收缩期左心室基底水平及乳头肌水平的峰值RS和CS。结果 随冠状动脉狭窄程度加重其供血心肌节段应变峰值逐渐降低,接受PCI治疗后应变峰值增加。冠状动脉狭窄程度与峰值RS、峰值CS绝对值负相关(r=-0.63,P<0.01;r=-0.54,P<0.01)。结论 STI能定量心肌缺血患者的左心室RS和CS,评价局部心肌功能。
英文摘要:
      Objective To quantitatively analyze the characteristics of radial strain and circumferential strain in myocardial ischemia with speckle tracking echocardiography. Methods Fifty-six patients with myocardial ischemia and 31 healthy subjects were enrolled. High frame rate two-dimensional images were recorded from the left ventricular short-axis views at the levels of mitral annulus and papillary muscle. Radial strain and circumferential strain were measured in the left ventricular short-axis views with 2D strain software. Results With the aggravation of coronary stenosis, the peak strain of the corresponding segments decreased gradually, and then increased after PCI. Radial strain and circumferential strain were negatively correlated with the aggravation of coronary stenosis (r=-0.63, P<0.01; r=-0.54, P<0.01). Conclusion Regional wall motion of left ventricular in patients with myocardial ischemia can be evaluated accurately with speckle tracking echocardiography.
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