超声心动图在成人先天性心脏病合并肺动脉高压手术时机评估中的应用

Surgical timing evaluation by echocardiography in adult congenital heart disease complicating pulmonary artery hypertension

早期纠正先天性心脏病(congenital heart disease,CHD)患者心脏结构及功能的异常有益于患者的长期存活。肺动脉高压(pulmonary artery hypertension,PAH)的严重程度是决定成人CHD患者能否接受手术治疗及远期预后的重要影响因素。超声心动图作为一种无创、简便、有效的成像手段,在成人CHD及PAH患者中被广泛应用。基于超声心动图参数的预测模型不仅能提高无创参数量化血流动力学参数的准确性,而且还能对不同阶段CHD患者的手术可行性进行评估,从而避免反复进行有创的心导管检查,也提高了对成人CHD合并PAH患者的综合管理质量。

Timely correction of cardiac structural and functional abnormalities in patients with congenital heart disease(CHD)is beneficial to their long-term survival.The severity of pulmonary artery hypertension(PAH)is an important factor that determines the operability and long-term prognosis of adult CHD patients.As a non-invasive,simple and effective imaging method,echocardiography is widely used in adult CHD and PAH patients.The prediction model based on echocardiographic parameters can not only improve the accuracy of non-invasive parameters in the prediction of invasive hemodynamic indicators,but also could evaluate the surgical feasibility of CHD patients at different disease stages.It helps to avoid repeated invasive cardiac catheterization and also could improve the quality of comprehensive management of adults with CHD and PAH.