张永恒,吴晓萍.组织多普勒分析慢性心力衰竭患者左心室失同步运动[J].中国医学影像技术,2011,27(11):2202~2205
组织多普勒分析慢性心力衰竭患者左心室失同步运动
Tissue Doppler imaging analysis on left ventricle desynchronization motion in patients with chronic heart failure
投稿时间:2011-05-22  修订日期:2011-06-20
DOI:
中文关键词:  慢性充血性心力衰竭  失同步运动  定量组织速度成像
英文关键词:Chronic congestive heart failure  Asynchronous motion  Quantitative tissue velocity imaging
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作者单位E-mail
张永恒 内蒙古医学院附属医院超声诊断科,内蒙古 呼和浩特 010050  
吴晓萍 内蒙古医学院附属医院超声诊断科,内蒙古 呼和浩特 010050 misswuxiaoping@163.com 
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中文摘要:
       目的 运用多普勒定量组织速度成像技术(QTVI)分析慢性充血性心力衰竭(CHF)患者的左心室壁运动的失同步特点。方法 以慢性心力衰竭患者30例为病例组,30名正常人为对照组。获取标准心尖二腔、心尖四腔、心尖长轴切面的二维彩色组织多普勒图像,脱机测量左心室各室壁基底段、中间段、心尖段的时间间期并计算不同步指标。结果 ①对照组左心室同一室壁内不同节段、不同室壁同一节段的收缩期达峰时间(Ts)、舒张早期达峰时间(Te)差异均无统计学意义(P均>0.05);②与对照组比较,病例组失同步指标差异均有统计学意义(P均<0.05)。结论 CHF患者左心室壁运动普遍存在失同步性。QTVI可以定量、客观地评价心脏失同步运动。
英文摘要:
      Objective To analyze desynchronization feature of left ventricle wall motion for chronic congestive heart failure (CHF) using quantitative tissue velocity imaging (QTVI). Methods Thirty CHF patients were chosen (CHF group), while 30 healthy adults were selected as control group. Two-dimensional color tissue Doppler images of standardized two-chamber, four-chamber and long-axis view of cardiac apex were taken, time intervals of basal section, middle section, apical section of every ventricle wall in left ventricle were off-line detected, and indexes for desynchronization were calculated. Results ①Time to peak systolic (Ts), time to peak early diastolic (Te) of different fractions in the same left ventricle wall and different left ventricular wall of control group in the same fraction were not significantly different (all P>0.05). ②Indexes for desynchronization between control group and CHF group were significantly different (all P<0.05). Conclusion Desynchronization commonly existed in left ventricle motion of CHF patients. QTVI can be used to quantitatively and objectively evaluate heart desynchronization.
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