超声技术评价心脏舒张功能的研究现状

胡静; 杨少玲

doi:10.12122/j.issn.1674-4500.2020.04.08

超声技术评价心脏舒张功能的研究现状

doi: 10.12122/j.issn.1674-4500.2020.04.08

胡静^1,,
杨少玲^2, ,

1.
安徽理工大学医学院，安徽淮南 232000
2.
安徽理工大学附属奉贤区中心医院心脏血管超声科，上海 201499

基金项目:

上海市卫生与计划生育委员会课题 201740053

上海市科学技术委员会引导项目 18411970000

详细信息

作者简介:
胡静，在读硕士研究生，E-mail:15839077435@163.com

通讯作者:
杨少玲，博士，主任医师，E-mail: drysl@163.com

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出版历程
- 收稿日期: 2020-07-31
- 刊出日期: 2020-10-20

Research status of evaluation of cardiac diastolic function by ultrasonography

Jing HU^1
,,
Shaoling YANG^{2
, ,}

1.
School of Medicine, Anhui University of Science and Technology, Huainan 232000, China
2.
Department of Cardiovascular Ultrasound, Anhui University of Science and Technology Affiliated Fengxian Central Hospital, Shanghai 201499, China

摘要

摘要: 心血管疾病是常见的严重威胁人类健康的疾病，在各种疾病导致的死亡中居于首位。研究表明许多心血管疾病即使早期没有出现明显的临床症状，心脏舒张功能也已经发生损害。从早期预防、临床诊断及后期干预治疗的角度上看，尽早地了解患者心脏舒张功能的变化具有十分积极的临床意义。目前临床上常用超声技术无创评价心脏舒张功能, 能够达到早期发现心脏舒张功能变化的目的，对疾病的早期诊断、疗效评估及预后有重要的价值。通过回顾国内外相关文献，本文就超声心动图技术中常用的脉冲多普勒、彩色M型超声心动图、组织多普勒、实时三维超声心动图、Tei指数及二维斑点追踪技术等方法评价心脏舒张功能的研究现状进行综述。其中二维斑点追踪技术作为一项新技术，在评价左室舒张功能方面得到了临床广泛的研究及应用，其不受角度依赖的特点，使其较其他方法更简便、可行性及准确性更高。另外同样分析了超声心动图技术中评价心脏舒张功能常用方法的优点及不足之处。总之，评价心脏舒张功能的超声技术会随着科技水平的提高越来越先进，在未来的医学影像学乃至整个超声医学领域中，都发挥着其不可替代的作用。
- 心脏舒张功能 /
- 超声心动图 /
- 斑点追踪技术
Abstract: Cardiovascular disease is a common disease that seriously threatens human health, and occupies the first place in the death caused by various diseases. Studies have shown that cardiac diastolic function has been impaired even if there are no obvious clinical symptoms in the early stage of many cardiovascular diseases. From the view of early prevention, clinical diagnosis and late intervention treatment, it is of positive clinical significance to understand the changes of cardiac diastolic function as early as possible. At present, echocardiography is commonly used in clinical non- invasive evaluation of cardiac diastolic function, which can achieve the purpose of early detection of cardiac diastolic function, and has important value for early diagnosis, curative effect evaluation and prognosis of the disease. By reviewing the related literature at home and abroad, this paper reviews the research status of pulsed Doppler, color M-mode echocardiography, tissue Doppler, Real- time threedimensional echocardiography, Tei index and Two-dimensional speckle tracking technique commonly used in echocardiography to evaluate cardiac diastolic function. As a new technique, two-dimensional speckle tracking technique has been widely studied and applied in the evaluation of left ventricular diastolic function. Its independent characteristic makes it simpler, more feasible and more accurate than other methods. In addition, the advantages and disadvantages of common methods for evaluating cardiac diastolic function in echocardiography were also analyzed. In conclusion, ultrasonic technology for evaluating cardiac diastolic function will become more and more advanced with the improvement of science and technology, and will play an irreplaceable role in medical imaging and even the whole field of ultrasound medicine in the future.
- cardiac diastolic function /
- echocardiography /
- speckle tracking technique

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参考文献(33)

[1]	高存良.超声二维斑点追踪技术在评估左室舒张功能不全中的应用[D].河北医科大学, 2017.
[2]	李红梅.心脏超声技术评价左室舒张功能的现状研究[J].影像研究与医学应用, 2018, 2(24): 54-6. doi: 10.3969/j.issn.2096-3807.2018.24.025
[3]	金玉明, 洪桂荣, 孙望星, 等.组织多普勒成像技术对原发性高血压病患者左室舒张功能的评价[J].临床超声医学杂志, 2016, 18(4): 268- 70.
[4]	王文娟, 蔡江涛, 白梅.超声心动图评估老年心肌梗死后心力衰竭患者右心功能的临床价值[J].实用老年医学, 2016, 30(1): 65-8.
[5]	钟雅蓉, 邵春燕, 张茜.超声心动图综合参数在高血压患者左心室舒张功能评估中的应用[J].中国医学装备, 2017, 14(3): 73-6. doi: 10.3969/J.ISSN.1672-8270.2017.03.020
[6]	De Blasio MJ, Huynh N, Deo M, et al. Defining the progression of diabetic cardiomyopathy in a mouse model of type 1 diabetes[J]. Front Physiol, 2020, 11: 124. doi: 10.3389/fphys.2020.00124
[7]	Dykun I, Kärner L, Mahmoud I, et al. Association of echocardiographic measures of left ventricular diastolic dysfunction and hypertrophy with presence of coronary microvascular dysfunction[J]. Int J Cardiol Heart Vasc, 2020, 27: 100493.
[8]	Huang FQ, Tan RS, Sim D, et al. Left ventricular diastolic function assessment using time differences between mitral annular velocities and transmitral inflow velocities in patients with heart failure[J]. Heart Lung Circ, 2015, 24(3): 257-63. doi: 10.1016/j.hlc.2014.09.010
[9]	李毅, 秦俭.心脏超声技术评价左室舒张功能的研究现状[J].重庆医学, 2010, 39(14): 1920-2. doi: 10.3969/j.issn.1671-8348.2010.14.063
[10]	栗晶晶, 金天亮.超声心动图评价左室舒张功能研究现状[J].世界最新医学信息文摘, 2019, 19(28): 135-6.
[11]	谭国娟, 智光, 盖鲁粤, 等.评估冠心病左室舒张功能多普勒几项技术的对比研究[J].临床超声医学杂志, 2005, 7(1): 5-7. doi: 10.3969/j.issn.1008-6978.2005.01.002
[12]	Murata K. Predictive significance of evaluation of left ventricular diastolic function in patients with heart failure[J]. Rinsho Byori, 2010, 58(8): 792-8.
[13]	Garcia MJ, Thomas JD, Klein AL. New Doppler echocardiographic applications for the study of diastolic function[J]. J Am Coll Cardiol, 1998, 32(4): 865-75. doi: 10.1016/S0735-1097(98)00345-3
[14]	Nagueh SF, Appleton CP, Gillebert TC, et al. Recommendations for the evaluation of left ventricular diastolic function by echocardiography[J]. Eur J Echocardiogr, 2009, 10(2): 165-93.
[15]	Hernandez-Suarez DF, Kim Y, López FM, et al. Qualitative assessment of color M-mode signals in the evaluation of left ventricular diastolic function: a proof of concept study[J]. J Cardiothorac VascAnesth, 2019, 33(10): 2658-62.
[16]	孙萍.彩色多普勒超声心动图测定高血压及扩张型心肌病左室舒张功能评价[J].山西医药杂志:下半月刊, 2008, 37(12): 1112.
[17]	Paulus WJ, Tschöpe C, Sanderson JE, et al. How to diagnose diastolic heart failure: a consensus statement on the diagnosis of heart failure with normal left ventricular ejection fraction by the heart failure and echocardiography associations of the european society of cardiology[J]. Eur Heart J, 2007, 28(20): 2539-50. doi: 10.1093/eurheartj/ehm037
[18]	Nistri S, Mazzone C, Cioffi G, et al. Tissue Doppler indices of diastolic function as prognosticator in patients without heart failure in primary care[J]. J Cardiol, 2020, 76(1): 18-24. doi: 10.1016/j.jjcc.2020.01.015
[19]	刘羽, 宋钰, 陈重泽.组织多普勒成像技术评估高血压患者左室舒张功能的价值[J].福建医药杂志, 2018, 40(1): 62-4.
[20]	Grue JF, Storve S, Dalen H, et al. Automatic quantification of left ventricular function by medical students using ultrasound[J]. BMC Med Imaging, 2020, 20(1): 29. doi: 10.1186/s12880-020-00430-1
[21]	Mor-Avi V, Yodwut C, Jenkins C, et al. Real-time 3D echocardiographic quantification of left atrial volume: multicenter study for validation with CMR[J]. JACC Cardiovasc Imaging, 2012, 5(8): 769-77. doi: 10.1016/j.jcmg.2012.05.011
[22]	李恒.心脏超声技术评价左室舒张功能研究现状[J].中外医学研究, 2012, 10(10): 148-50. doi: 10.3969/j.issn.1674-6805.2012.10.113
[23]	Benameur N, Arous Y, Ben Abdallah N, et al. Comparison between 3D echocardiography and cardiac magnetic resonance imaging (CMRI) in the measurement of left ventricular volumes and ejection fraction[J]. Curr Med Imaging Former Curr Med Imaging Rev, 2019, 15(7): 654-60. doi: 10.2174/1573405614666180815115756
[24]	曾燕玲, 陈昕, 韩玉娜, 等.三维超声心动图定量评价扩张型心肌病左心室舒张功能[J].中国医学影像技术, 2012, 28(12): 2155-8.
[25]	Yuan XC, Zhou AY, Chen L, et al. Diagnosis of mitral valve cleft using real-time 3-dimensional echocardiography[J]. J Thorac Dis, 2017, 9(1): 159-65. doi: 10.21037/jtd.2017.01.21
[26]	Tissera G, Piskorz D, Citta L, et al. Morphologic and functional heart abnormalities associated to high modified tei index in hypertensive patients[J]. High Blood Press Cardiovasc Prev, 2016, 23(4): 373-80. doi: 10.1007/s40292-016-0167-y
[27]	Asami M, Pilgrim T, Lanz J, et al. Prognostic relevance of left ventricular myocardial performance after transcatheter aortic valve replacement[J]. Circ Cardiovasc Interv, 2019, 12(1): e006612.
[28]	Oh JK, Hatle L, Tajik AJ, et al. Diastolic heart failure can be diagnosed by comprehensive two-dimensional and Doppler echocardiography[J]. JAm Coll Cardiol, 2006, 47(3): 500-6. doi: 10.1016/j.jacc.2005.09.032
[29]	Morris DA, Boldt LH, Eichstädt H, et al. Myocardial systolic and diastolic performance derived by 2-dimensional speckle tracking echocardiography in heart failure with normal left ventricular ejection fraction[J]. Circ Heart Fail, 2012, 5(5): 610-20. doi: 10.1161/CIRCHEARTFAILURE.112.966564
[30]	Decloedt A, Ven S, De Clercq D, et al. Assessment of left ventricular function in horses with aortic regurgitation by 2D speckle tracking[J]. BMC Vet Res, 2020, 16(1): 93. doi: 10.1186/s12917-020-02307-5
[31]	Cote AT, Hosking M, Voss C, et al. Coronary artery intimal thickening and ventricular dynamics in pediatric heart transplant recipients[J]. Congenit Heart Dis, 2018, 13(5): 663-70. doi: 10.1111/chd.12629
[32]	王硕, 张宝娓, 杨颖, 等.二维斑点追踪技术评价社区人群左心房应变率与左心室舒张功能的相关性[J].心肺血管病杂志, 2012, 31(5): 499-502. doi: 10.3969/j.issn.1007-5062.2012.05.001
[33]	Leischik R, Littwitz H, Dworrak B, et al. Echocardiographic evaluation of left atrial mechanics: function, history, novel techniques, advantages, and pitfalls[J]. Biomed Res Int, 2015, 2015: 765921.