左束支传导阻滞对慢性心衰患者心室间协调性的影响

曾宪敏;吴 岩

中国临床医学影像杂志 ›› 2007, Vol. 18 ›› Issue (11) : 771-772.

中国临床医学影像杂志 ›› 2007, Vol. 18 ›› Issue (11) : 771-772.
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左束支传导阻滞对慢性心衰患者心室间协调性的影响

  • 曾宪敏,吴 岩
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Effect of left bundle branch block on interventricular asynchrony in chronic heart failure

  • ZENG Xian-min, WU Yan
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摘要

目的:评价左束支传导阻滞对慢性心衰患者心室间协调性的影响。方法:分3组:对照组、慢性心衰不伴传导异常组及慢性心衰伴左束支传导阻滞组。应用心肌组织多普勒技术(TDI)通过左、右房室环分别测量左、右心室侧壁电机械运动时间,并计算二者差值表示左右心室收缩期电机械运动延迟时间;并应用脉冲多普勒技术(PW)分别测量主动脉、肺动脉射血前期时间,并计算二者差值表示左右心室射血延迟时间。结果:与对照组及心衰不伴传导异常组相比,心衰伴左束支传导阻滞组的左右心室收缩期电机械运动延迟时间和左右心室射血延迟时间均有统计学意义。结论:使用TDI及PW技术可全面评价心室间不同步运动情况,为起搏治疗慢性心衰提供准确的信息。

Abstract

Objective: To assess the effects of left bundle branch block on interventricular asynchrony in chronic heart failure. Methods: There were three groups. Chronic heart failure without intraventricular conduction delay and chronic heart failure with complete bundle branch block were compared with healthy individuals. Pulse tissue Doppler imaging(TDI) was performed to measure the time of electromechanical motion of left and right ventricular lateral wall in systole on atrial-ventricular annulus with mapping techniques. Pre-ejection contraction time of left and right ventricles were recorded with pulsed-wave Doppler(PW). Results: Interventricular electromechanical delay time in systole and interventricular ejection delay time increased in chronic heart failure with complete bundle branch block compared with healthy individuals and chronic heart failure without interventricular conduction delay. Conclusions: Interventricular asynchrony can be assessed with TDI and PW Doppler, which can provide good evidence for treatment of chronic heart failure.

关键词

束支传导阻滞 / 心脏病 / 超声心动描记术

Key words

bundle-branch block / heart diseases / echocardiography

引用本文

导出引用
曾宪敏;吴 岩. 左束支传导阻滞对慢性心衰患者心室间协调性的影响[J]. 中国临床医学影像杂志. 2007, 18(11): 771-772
ZENG Xian-min;WU Yan. Effect of left bundle branch block on interventricular asynchrony in chronic heart failure[J]. Journal of China Clinic Medical Imaging. 2007, 18(11): 771-772
中图分类号: R541.76    R540.45   

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