5左室舒张功能

MD Pieter M. Vandervoort (Staff Cardiologist)
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引用次数: 0

摘要

在过去的15年中,舒张功能障碍已被认为是一个独立的病理生理和临床实体。与此同时,二维超声心动图和多普勒超声心动图已经发展成为日常临床实践中评估舒张功能的首选方法。为了正确解释和评估多普勒速度谱的舒张功能参数,应该了解它们与潜在病理生理机制的关系。本章将重点讨论左心室舒张功能的不同决定因素与心内多普勒速度谱之间复杂的相互作用。将讨论该技术的解释歧义和局限性以及最新的技术进展和未来的方向。
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5 Left ventricular diastolic function

Over the last 15 years diastolic dysfunction has been recognized as a separate pathophysiological and clinical entity. At the same time two-dimensional echocardiography and Doppler echocardiography have evolved to become the method of choice to evaluate diastolic function in daily clinical practice. For correct interpretation and assessment of diastolic function parameters from Doppler velocity profiles, their relationship to the underlying pathophysiological mechanisms should be understood. This chapter will focus on the complex interaction between the different determinants of left ventricular diastolic function and the intracardiac Doppler velocity profiles. Ambiguities in interpretation and limitations of the technique as well as the latest technological advances and future directions will be discussed.

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