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超声背向散射测定结合胶原代谢物评价持续性心房颤动患者心房肌纤维化程度 被引量:3
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作者 热娜.艾山 玛依拉.阿不都克力木 +1 位作者 黄建波 周建华 《中华实用诊断与治疗杂志》 2015年第6期540-542,共3页
目的探讨应用超声背向散射检测结合胶原代谢物评价老年持续性心房颤动(房颤)患者心房肌纤维化程度的价值。方法持续性房颤患者45例(房颤组)和无房颤病史的窦性心律患者45例(对照组),2组行超声心动图检测左心房直径(left atrial diameter... 目的探讨应用超声背向散射检测结合胶原代谢物评价老年持续性心房颤动(房颤)患者心房肌纤维化程度的价值。方法持续性房颤患者45例(房颤组)和无房颤病史的窦性心律患者45例(对照组),2组行超声心动图检测左心房直径(left atrial diameter,LAD),行超声背向散射测定技术检测房间隔及左心房后壁背向散射积分值(integrated backscatter,IBS)和背向散射积分周期变化值(cyclic variation of integrated backscatter,CVIB)。采用ELISA法检测患者血清结缔组织生长因子(connective tissue growth factor,CTGF)和Ⅰ型前胶原氨基端肽(procollagen typeⅠN-terminal propeptide,PⅠNP)水平。结果房颤组LAD[(44.65±2.12)mm]、血清CTGF[(130.50±8.40)ng/L]和PⅠNP[(140.32±6.32)ng/L]水平均高于对照组[LAD(28.65±2.31)mm、CTGF(80.26±3.54)ng/L、PⅠNP(89.45±4.25)ng/L)],差异有统计学意义(P<0.05);房颤组房间隔和左心房后壁的IBS%(45.50±3.60、42.20±3.87)明显高于对照组(32.76±2.85、30.24±5.68),CVIB(5.15±2.13、6.54±1.80)明显小于对照组(6.80±1.86、8.25±1.35)(P<0.05);LAD、CTGF和PⅠNP水平与IBS%呈正相关(r=0.358,P=0.041;r=0.525,P=0.021;r=0.632,P=0.018),与CVIB呈负相关(r=-0.152,P=0.035;r=-0.135,P=0.013;r=-0.210,P=0.033);房颤组患者LAD与CTGF(r=0.425,P=0.01)和PⅠNP(r=0.624,P=0.017)水平呈正相关。结论心房纤维化参与了房颤的发生和维持,超声背向散射测定结合胶原代谢物可无创性检查持续性房颤患者心房肌纤维化程度。 展开更多
关键词 持续性心房颤动 背向散射积分值 背向散射积分周期变化值 结缔组织生长因子 Ⅰ型前胶原氨基端肽
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Influence of Contractility on Myocardial Ultrasonic Integrated Backscatter and Cyclic Variation in Integrated Backscatter
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作者 毕小军 邓又斌 +4 位作者 潘敏 杨好意 向慧娟 常青 黎春雷 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2002年第3期233-234,259,共3页
To evaluate the effects of left ventricular contractility on the changes of aver age image intensity (AII) of the myocardial integrated backscatter (IB) and cyclic variation in IB (CVIB), 7 adult mongrel dogs were stu... To evaluate the effects of left ventricular contractility on the changes of aver age image intensity (AII) of the myocardial integrated backscatter (IB) and cyclic variation in IB (CVIB), 7 adult mongrel dogs were studied. The magnitude of AII and CVIB were measured from myocardial IB carves before and after dobuta mine or propranolol infusion. Dobutamine or propranolol did not affect the magnitude of AII (13.8±0.7 vs 14.7±0.5, P >0.05 or 14.3±0.5 vs 14.2±0.4, P >0.05). However, dobutamine produced a significant increase in the magnitude of CVIB (6.8±0.3 vs 9.5±0.6, P <0.001) and propranolol induced significant decrease in the magnitude of CVIB (7.1±0.2 vs 5.2±0.3, P <0.001). The changes of the magnitude of AII and CVIB in the myocardium have been demonstrated to reflect different myocardial physiological and pathological changes respectively. The alteration of contractility did not affect the magnitude of AII but induced significant change in CVIB. The increase of left ventricular contractility res ulted in a significant rise of the magnitude of CVIB and the decrease of left ventricular contractility resulted in a significant fall of the magnitude of CVIB. 展开更多
关键词 myocardial contractility average image inten sity (AII) cyclic variation in integrated backscatter (CVIB)
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