经皮冠状动脉介入治疗后左房功能的评估:基于多普勒应变和应变率的研究

Fariba Bayat, Mehdi Nazmdeh, M. Safi, Amir H. Karimi, L. Gachkar
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引用次数: 0

摘要

背景:左心房功能对心脏不良事件的风险评估和预测至关重要。组织多普勒心房收缩可以提供心房收缩功能的局部和全局快照。目的:本研究旨在通过组织多普勒应变参数和应变率评估经皮冠状动脉介入治疗(PCI)后左房功能。患者和方法:这项前瞻性研究招募了77例连续接受PCI治疗的冠状动脉疾病患者。研究终点是通过组织多普勒显像评估PCI前后左房功能的区域应变和应变率参数。结果:PCI后左试功能参数的变化,PCI后室间隔壁、前、下壁应变及前、外壁应变率显著升高,外壁应变及中隔壁应变率显著降低。结论:经组织多普勒显像评估,PCI伴左房变形指标有一定改善。因此,血运重建术可以改善患者的预后。
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Assessment of left atrial function after percutaneous coronary intervention: A doppler-based strain and strain rate study
Background: Left atrial function can be critical for risk assessment and prediction of adverse cardiac events. Tissue Doppler of atrial contraction can provide regional and global snapshots of atrial systolic function. Objectives: The present study aimed to assess left atrial function by tissue Doppler parameters of strain and strain rate following percutaneous coronary intervention (PCI). Patients and Methods: This prospective study recruited 77 consecutive patients with coronary artery disease who underwent PCI. The study end point was to assess left atrial function by regional strain and strain rate parameters before and after PCI via tissue Doppler imaging. Results: Regarding changes in left trial functional parameters after PCI, those such as the strain of the septal wall and the anterior and inferior walls and the strain rate of the anterior and lateral walls significantly increased following PCI, while the strain of the lateral wall and the strain rate of the septal wall significantly decreased. Conclusions: PCI was accompanied by some improvement in left atrial deformation indices as assessed by tissue Doppler imaging. Revascularization can, therefore, improve patient outcome.
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