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[1]劉建平,洪丹丹,邱金梅,等.超聲多模態(tài)成像對(duì)心肌梗死患者缺血節(jié)段識(shí)別及左心功能評(píng)估的作用[J].福建醫(yī)藥雜志,2024,46(02):14-18.[doi:10.20148/j.fmj.2024.02.004]
　LIU Jianping,HONG Dandan,QIU Jinmei,et al.Ultrasonic multimodal imaging in the identification of ischemic segments and the evaluation of left ventricular function in patients with myocardial infarction[J].FUJIAN MEDICAL JOURNAL,2024,46(02):14-18.[doi:10.20148/j.fmj.2024.02.004]
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超聲多模態(tài)成像對(duì)心肌梗死患者缺血節(jié)段識(shí)別及左心功能評(píng)估的作用()
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《福建醫(yī)藥雜志》[ISSN:1002-2600/CN:35-1071/R]

卷:
46
期數(shù):
2024年02期
頁(yè)碼:
14-18
欄目:
臨床研究
出版日期:
2024-04-15

文章信息/Info

Title:
Ultrasonic multimodal imaging in the identification of ischemic segments and the evaluation of left ventricular function in patients with myocardial infarction
文章編號(hào):
1002-2600(2024)02-0014-05
作者:
劉建平; 洪丹丹; 邱金梅; 鄭美端
福建省泉州市第一醫(yī)院心臟彩超室,泉州 362000
Author(s):
LIU Jianping; HONG Dandan; QIU Jinmei; ZHENG Meiduan
Department of Echocardiography, Quanzhou First Hospital, Quanzhou, Fujian 362000, China
關(guān)鍵詞:
心肌梗死;  節(jié)段性室壁運(yùn)動(dòng)異常;  二維斑點(diǎn)追蹤顯像;  左心功能;  肺超聲
Keywords:
myocardial infarction;  regional wall motion abnormalities;  two-dimensional speckle tracking imaging;  left heart function;  lung ultrasound
分類號(hào):
R445.1
DOI:
10.20148/j.fmj.2024.02.004
文獻(xiàn)標(biāo)志碼:
B
摘要:
目的 探討聯(lián)合應(yīng)用經(jīng)胸超聲心動(dòng)圖(TTE)、二維斑點(diǎn)追蹤成像技術(shù)(2D-STI)及肺超聲對(duì)不同類型心肌梗死(MI)缺血節(jié)段識(shí)別、左心功能評(píng)估的臨床應(yīng)用價(jià)值。方法 隨機(jī)選取福建省泉州市第一醫(yī)院心內(nèi)科MI患者93例,其中非ST抬高型心梗(NSTEMI)45例、ST抬高型心梗(STEMI)48例。所有患者均在冠脈造影前24 h內(nèi)行TTE、2D-STI及肺超聲檢查; TTE觀察是否有節(jié)段性室壁運(yùn)動(dòng)異常(RWMA),并測(cè)量左室射血分?jǐn)?shù)(LVEF)、左房容積指數(shù)(LAVI)、肺動(dòng)脈收縮壓(PASP)、二尖瓣血流E峰、二尖瓣環(huán)e’峰并計(jì)算E/e’; 2D-STI分析左室壁各節(jié)段心肌縱向峰值應(yīng)變(LPS)、整體縱向峰值應(yīng)變(GLPS); 肺超聲觀察并計(jì)算肺B線積分; 入院時(shí)急查B型鈉肽(BNP)。比較TTE、2D-STI判斷為缺血節(jié)段與冠脈造影結(jié)果的符合率; 分析兩組患者TTE參數(shù)、GLPS、肺B線積分及BNP間的相關(guān)性。結(jié)果 NSTEMI組2D-STI缺血節(jié)段符合率較TTE升高(P<0.05); 在NSTEMI組,LVEF與GLPS、肺B線積分、BNP呈弱相關(guān)性,而在STEMI組均呈較強(qiáng)的相關(guān)性; 在兩組患者中,GLPS、肺B線積分均與BNP呈較強(qiáng)的正相關(guān)關(guān)系,肺B線積分與E/e’、LAVI、PASP相關(guān)性較強(qiáng)。結(jié)論 TTE聯(lián)合2D-STI能提高NSTEMI患者缺血節(jié)段的識(shí)別率; 聯(lián)合肺超聲能為MI患者左心功能及肺淤血程度的評(píng)估提供客觀的影像學(xué)依據(jù); 對(duì)MI患者進(jìn)行超聲多模態(tài)成像具有一定的臨床意義。
Abstract:
Objective To investigate the clinical application value of transthoracic echocardiography(TTE), two-dimensional speckle tracking imaging(2D-STI)and lung ultrasound in the identification of ischemic segments and assessment of left ventricular function in different types of myocardial infarction(MI).Methods A total of 93 patients with MI in the Cardiology Department of Quanzhou First Hospital were randomly selected, including 45 cases of NSTEMI and 48 cases of STEMI.All patients underwent TTE, 2D-STI, and lung ultrasound within 24 hours prior to coronary angiography.TTE was used to observe whether there was regional wall motion abnormalities(RWMA), and the left ventricular ejection fraction(LVEF), left atrial volume index(LAVI), pulmonary artery systolic blood pressure(PASP), mitral valve flow E peak, mitral annulus e’ peak were measured and E/e’ was calculated.2D-STI was used to analyze the longitudinal peak strain(LPS)and global longitudinal peak strain(GLPS)of each segment of the left ventricular wall; Pulmonary ultrasound was used to observe and calculate the B-line integral of the lungs; B-type natriuretic peptide(BNP)was urgently checked upon admission.The coincidence rate between STE and 2D-STI was compared with the results of coronary angiography, and the correlation between TTE parameters, GLPS, lung B-line score and BNP in the two groups was analyzed.Results The coincidence rate of 2D-STI ischemia segment in the NSTEMI group was significantly higher than that of TTE(P<0.05), LVEF was weakly correlated with GLPS, lung B-line integral and BNP in the NSTEMII group, but the correlation were strong in the STEMI group. GLPS and pulmonary B-line scores were strongly positively correlated with BNP, and pulmonary B-line scores were strongly correlated with E/e’, LAVI and PASP in the two groups.Conclusion TTE combined with 2D-STI can improve the identification rate of ischemic segments in patients with NSTEMI; TTE combining with lung ultrasound can provide an objective imaging basis for the evaluation of left heart function and pulmonary congestion in MI patients; and ultrasound multimodal imaging in MI patients has certain clinical significance.

參考文獻(xiàn)/References:

[1] 曾麗欽,呂國(guó)榮,連細(xì)華,等.超聲B線征與肺水腫嚴(yán)重程度的相關(guān)性[J].中國(guó)超聲醫(yī)學(xué)雜志,2019,35(2):272-274.
[2] 方一,呂迪,周海東,等.心肺聯(lián)合超聲與PICCO對(duì)急危重癥患者監(jiān)測(cè)結(jié)果的相關(guān)性[J].中華重癥醫(yī)學(xué)電子雜志(網(wǎng)絡(luò)版),2021,7(2):110-114.
[3] 丁琦,王淑紅,張歡歡,等.肺超聲在急性心肌梗死患者危險(xiǎn)分層及預(yù)后評(píng)估中的應(yīng)用[J].中國(guó)心血管雜志,2020,25(3):248.
[4] 中華醫(yī)學(xué)會(huì)超聲醫(yī)學(xué)分會(huì)超聲心動(dòng)圖組.超聲心動(dòng)圖評(píng)估心臟收縮和舒張功能臨床應(yīng)用指南[J].中華超聲影像學(xué)雜志,2020,29(6):461-477.
[5] ENGHARD P,RADEMACHER S,NEE J,et al.Simplified lung ultrasound protocol shows excellent prediction of extravascular lung water inventilated intensive care patients[J].CritCare,2015,19(1):36.
[6] MCMANUS D D,GORE J,YARZEBSKI J,et al.Recent trends in the incidence,treatment,and outcomes of patients with STEMI and NSTEMI[J].Am J Med,2011,124(1):40-47.
[7] 江業(yè)慧,張平陽(yáng),冉紅,等.基于AFI的無(wú)室壁運(yùn)動(dòng)異常冠心病患者左室心肌運(yùn)動(dòng)及其與冠脈狹窄程度間關(guān)系的研究[J].中國(guó)超聲醫(yī)學(xué)雜志,2020,36(2):125-128.
[8] MA C Y,LIU S,YANG J,et al.Evaluation of global longitudinal strain of left ventricle and regional longitudinal strain in the region of left ventricular leads predicts the response to cardiac re-synchronization therapy in patients with ischemic heart failure[J].Cell Biochemistry and Biophysics,2014,70(1):143-148.
[9] 莊燕,戴林峰,陳明祺,等.床旁肺超聲B線積分對(duì)急性左心衰竭的診斷價(jià)值[J].中華危重病急救醫(yī)學(xué),2018,30(2):156-159.
[10] 楊菲菲,王秋霜,黃黨生,等.應(yīng)用肺部超聲的肺水B線與N末端B型利鈉肽原和E/e’評(píng)價(jià)急性心力衰竭患者肺水腫的相關(guān)研究[J].中國(guó)循環(huán)雜志,2018,33(4):355-359.
[11] VOLPICELLI G,SKURZAK S,BOERO E,et al.Lung ultrasound predicts well extravascular lung water but is of limited usefulness in the prediction of wedge pressure[J].Anesthesiology,2014,121(2):320-327.

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更新日期/Last Update: 2024-04-15