利用斑点追踪超声心动图评估风湿性二尖瓣狭窄患者的左心室功能

Mohamed Kamal Elkhouly, Hisham Khalid Rasheed, Eman Saeed El-Keshk, AL-Shimaa Mohamed sabry
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摘要

背景:风湿性心脏病(RHD)仍然是世界许多地区,尤其是发展中国家的一项重大健康负担。风湿性二尖瓣狭窄(MS)是风湿性心脏病最常见的表现之一,其特点是由于慢性炎症和纤维化导致二尖瓣口狭窄。本研究旨在通过斑点追踪超声心动图评估风湿性二尖瓣狭窄患者的左心室收缩功能。研究方法这是一项单中心、横断面、对比性研究,于2019年7月至2021年7月在本哈大学医院心内科进行,对象为孤立性风湿性二尖瓣狭窄且左心室功能保留的患者。所有患者均接受了全面的病史采集,包括年龄、性别和心血管风险因素,包括吸烟、高血压和糖尿病。NYHA 功能分类和临床检查:包括心率、收缩压和舒张压、胸部和心脏听诊。D-实验室检查、心电图和经胸超声心动图(TTE)。结果:研究组的年龄差异无统计学意义(P=0.368)。性别分布显示,中度多发性硬化症组、重度多发性硬化症组和对照组中男性(14%、8% 和 24%)和女性(86%、92% 和 76%)的比例各不相同,但各组间的性别分布差异无统计学意义(P=0.317)。结论斑点追踪超声心动图是评估风湿性二尖瓣狭窄患者左心室收缩功能的可靠而有效的工具。这种无创技术可对心肌力学进行全面评估,提供传统超声心动图参数以外的宝贵信息。
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Evaluation of Left Ventricular Function in Patient with Rheumatic Mitral Stenosis by Using Speckle Tracking Echocardiography
Background: Rheumatic heart disease (RHD) remains a significant health burden in many parts of the world, particularly in developing countries. Rheumatic mitral stenosis (MS) is one of the most common manifestations of RHD, characterized by the narrowing of the mitral valve orifice due to chronic inflammation and fibrosis. The aim of this study was to assess left ventricular systolic function in patients with rheumatic mitral stenosis by speckle tracking echocardiography. Methods: This was a single center, cross sectional, comparative study that was conducted at the cardiology department of Benha University Hospital from July 2019 to July 2021 on with isolated rheumatic mitral stenosis and preserved LV function. All patients were subjected to full history taking including age, gender and cardiovascular risk factors including smoking, hypertension, and diabetes. NYHA functional classification and clinical examination: including heart rate, systolic and diastolic blood pressure, chest and heart auscultation. D-Laboratory investigations, ECG and Transthoracic Echocardiography (TTE). Results: There was no statistically significant difference observed among the studied group regarding the age (p=0.368). The gender distribution showed varying proportions of males (14%, 8%, and 24%) and females (86%, 92%, and 76%) in the Moderate MS, Severe MS, and Control groups, respectively, but no statistically significant difference in gender distribution was found among the groups (p=0.317). Conclusions: Speckle tracking echocardiography is a reliable and effective tool for evaluating left ventricular systolic function in patients with rheumatic mitral stenosis. This non-invasive technique allows for a comprehensive assessment of myocardial mechanics, providing valuable information beyond traditional echocardiographic parameters.
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