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心肌组织多普勒显像技术在心脏再同步化治疗中的应用 被引量：2

Application of Myocardial Tissue Doppler Imaging in Cardiac Resynchronization Therapy
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摘要 20世纪90年代,心脏再同步化治疗(cardiac resynchronization therapy,CRT)开始用于治疗心力衰竭,并显示了出色的临床疗效.心衰晚期往往伴有房室或室间室内传导阻滞,导致心脏收缩运动不同步,单纯药物治疗效果不佳.心脏再同步化治疗通过植入永久起搏器,优化心脏房室间、心室间和心室内运动的激动时相,恢复心脏运动的电-机械同步性.众多研究[1]证实,对充血性心力衰竭伴室内传导组滞患者,CRT可以改善心功能、运动耐量、生活质量,降低住院率及住院时间,心衰相关的死亡危险性减低[2].CRT加植入式心脏复律除颤器(CRT-ICD)治疗者,心衰相关的病死率也降低.
作者 孔德红 舒先红
机构地区 复旦大学附属中山医院心内科
出处 《中国临床医学》 北大核心 2005年第6期1177-1178,共2页 Chinese Journal of Clinical Medicine
关键词 心脏再同步化治疗 组织多普勒显像技术 充血性心力衰竭 室内传导阻滞 20世纪90年代 THERAPY 心脏复律除颤器 心肌 单纯药物治疗 收缩运动
分类号 R541.62 [医药卫生—心血管疾病] R541 [医药卫生—心血管疾病]
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参考文献8

  • 1Young JB,Abraham WT,Fisher WG,et al.Combined cardiac resynchronization and implantable cardioversion defibrillation in advanced chronic heart failure:the MIRACLE ICD Trial [J].JAMA,2003,289:2685-2694.
  • 2Bradley DJ,Bradley EA,Baughman KL,et al.Cardiac resynchronization and death from progressive heart failure[J].JAMA,2003,289:730-740.
  • 3Leclerq C.Ventricular resynchronization-Current state of the art[J].Circulation,2004,109:296-299.
  • 4Yu CM,Lin H,Zhang Q,et al.High prevalence of left ventricular systolic and diastolic asynchrony in patients with congestive heart failure and normal QRS duration [J].Heart,2003,89:54-60.
  • 5Kass DA.Ventricular resynchronzation:pathophysiology and identification of responders[J].Rev Cardiovasc Med,2003,4 Suppl 2:S3-S13.
  • 6Martin P,Jozef B,Bernard B,et al.Improvement of left ventricular function after cardiac resynchronization therapy is predicted by tissue Doppler imaging echocardiography [J].Circulation,2004,109:978-983.
  • 7Gorcsan J Ⅲ,Kanzaki H,Bazaz R,et al.Usefulness of echocarkiographic tissue synchronization imaging to predict acute response to cardiac resynchronization therapy[J].Am J Cardiol,2004,93(9):1178-1181.
  • 8Soggard P,Egeblad H,Kim WY,et al.Tissue Doppler imaging predicts improved systolic performance and reversed left ventricular remodeling during long-term cardial resynchronization therapy[J].J Am Coll Cardiol,2002,40:723-730.

同被引文献8

  • 1姜楞.心脏再同步化治疗及超声心动图的应用[J].现代实用医学,2006,18(1):1-2. 被引量：3
  • 2Matre K,Fannelop T,Dahle GO,et al.Radial strain gradient across the normal myocardial wall in open-chest pigs measured with Doppler strain rate imaging.J Am Soc Echocardiogr,2005,18:1066-1073.
  • 3Becker M,Bilke E,Kuhl H,et al.Analysis of myocardial deformation based on pixel tracking in 2D echocardiographic images allows quantitative assessment of regional left ventricular function.Heart published online 30 Dec 2005 (downloaded).
  • 4Langeland S,D'hooge J,Wouters P F,et al.Experimental validation of a new ultrasound method for the simultaneous assessment of radial and longitudinal myocardial deformation independent of insonation angle.Circulation,2005,112:2157-2162.
  • 5Toyoda T,Baba H,Akasaka T,et al.Assessment of regional myocardial strain by a novel automated tracking system from digital image files.J Am Soc Echocardiogr,2004,17:1234-1238.
  • 6Serri K,Reant P,Lafitte M,et al.Global and regional myocardial function quantification by two-dimensional strain application in hypertrophic cardiomyopathy.J Am Coll Cardiol,2006,47:1175-1181.
  • 7Mirsky I,Parmley WW.Assessment of passive elastic stiffness for isolated heart muscle and the intact heart.Circ Res,1973,33:233-243.
  • 8Bovendeerd PH,Huyghe JM,Arts T,et al.Influence of endocardial-epicardial crossover of muscle fibers on left ventricular wall mechanics.J Biomech,1994,27:941-951.

引证文献2

二级引证文献13

中国临床医学
2005年 第6期

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