摘要
目的:探讨三维超声心动图(3DE)评估急性心肌梗死(AMI)患者左心室重构及心功能的价值。方法:选取2021年11月—2022年11月金乡县人民医院收治的需行经皮冠状动脉介入术(PCI)的AMI患者125例作为研究对象,依据是否出现左心室重构分为重构组(43例)和非重构组(82例)。采用单光子发射计算机断层显像(SPECT)和3DE对所选患者(入院后48 h内及术后)进行检查,比较组间左心室功能及三维斑点追踪参数差异,采用Pearson相关性分析两种检测方法测定左心功能指标的相关性。结果:重构组LVESV、LVM、LVMI指标水平高于非重构组(P<0.05),LVEF及GLS、GRS、GAS指标水平低于非重构组(P<0.05);Pearson相关性分析显示,3DE测定的LVEDV、LVESV、LVEF参数值与SPECT测定值均呈正相关(P<0.05)。结论:3DE可对AMI患者PCI术后的左心室重构、心功能等指标情况进行全面评估,进而为患者病情预测及预后判断的准确性提供依据。
Objective To investigate the value of three-dimensional echocardiography(3DE) in evaluating left ventricular remodeling and cardiac function in patients with acute myocardial infarction(AMI).Methods 125 patients with AMI requiring percutaneous coronary intervention(PCI) admitted to Jinxiang County People's Hospital from November 2021 to November 2022were selected as the study objects.Left ventricular remodeling was divided into two groups,remodeling group(43 cases) and non-remodeling group(82 cases).Using single-photon emission computed tomography(SPECT) and 3DE to selected patients with postoperative(within 48 h after admission and examination),comparison between groups left ventricular function and threedimensional speckle tracking parameter difference,Pearson correlation analysis was used to determine the correlation of left ventricular function indexes.Results Compared with the non-remodeling group,the levels of LVESV,LVM and LVMI in the remodeling group were higher(P<0.05),while the levels of LVEF,GLS,GRS and GAS were lower(P<0.05).Pearson correlation analysis showed that LVEDV,LVESV and LVEF parameters measured by 3DE were positively corelated with SPECT values(P<0.05).Conclusion 3DE can comprehensively evaluate the left ventricular remodeling,cardiac function and other indicators of AMI patients after PCI,so as to provide a basis for the accuracy of patients' disease prediction and prognosis.
作者
周彦君
ZHOU Yanjun(Department of Ultrasound,Jinxiang County People's Hospital,Jining,Shandong 272200,China)
出处
《影像研究与医学应用》
2024年第1期51-53,共3页
Journal of Imaging Research and Medical Applications
关键词
三维超声心动图
急性心肌梗死
左心室重构
Three-dimensional echocardiography
Acute myocardial infarction
Left ventricular remodeling
