Left atrioventricular remodeling in the assessment of the left ventricle diastolic function in patients with heart failure: a review of the currently studied echocardiographic variables.
Left atrioventricular remodeling in the assessment of the left ventricle diastolic function in patients with heart failure: a review of the currently studied echocardiographic variables.
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DOI：
10.1186/1476-7120-6-56
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发表时间：
2008-11-16
影响因子：
1.9
通讯作者：
Torres, Marco R.
中科院分区：
文献类型：
--
作者：
Danzmann, Luiz C.;Bodanese, Luiz Carlos;Kohler, Ilmar;Torres, Marco R.
心力衰竭的多参数超声心动图成像现在越来越多地被用于心力衰竭的决策中。其原因，取决于不同的治疗策略的需要，如收缩或舒张期功能障碍的区分，以及可用方法的伽马，如经皮和外科血管重建术，装置植入，瓣膜返流和狭窄矫正。最近指出，左心室内径正常或左心室射血分数保持不变的患者的充血性心力衰竭在心力衰竭病例中所占比例高达40%至50%，这主要是由于发达国家的流行病，以及代谢状态控制不好(如肥胖和糖尿病)的问题，但也是由于发展中国家的实际情况，如高血压流行和缺乏足够的控制。作为一个公用事业问题，这类患者的诊断和治疗指南必须是廉价的、可获得的、易于复制的，理想情况下将为临床医生的问题提供答案，而不是以非黑或白的二进制方式，而是分等级，所以如果可能的话，它必须是定量的。考虑到需要衰竭心脏综合征的通用数据并不意味着发展中国家的所有患者和临床医生都拥有相同的成像工具，不幸的是，考虑到不幸的是，发展中国家的所有患者和临床医生并不意味着在他们自己的卫生设施中拥有相同的成像工具，本论文旨在关注组织多普勒和左房功能和重构的当前临床应用，以及它与左心室的病理生理关系，这一点将在随后的超声心动图文献综述中阐明。
Multiparametric echocardiographic imaging of the failing heart is now increasingly used and useful in decision making in heart failure. The reasons for this, relies on the need of different strategies of handling these patients, as differentiation of systolic or diastolic dysfunction, as well as on the gamma of approaches available, such as percutaneous and surgical revascularization, devices implantations, and valvular regurgitations and stenosis corrections. Congestive heart failure in patients with normal left ventricular diameters or preserved left ventricular ejection fraction had been pointed out recently as present in a proportion so high as 40 to 50 percent of cases of heart failure, mainly due to the epidemics in well developed countries, as is the problem of not well controlled metabolic states (such as obesity and diabetes), but also due to the real word in developing countries, as is the case of hypertension epidemics and its lack of adequate control. As a matter of public utility, the guidelines in the diagnosis and treatment of such patients will have to be cheap, available, easily reproducible, and ideally will furnish answers for the clinician questions not in a binary "black or white" manner, but with graduations, so if possible it has to be quantitative. The present paper aim to focus on the current clinical applications of tissue Doppler and of left atrial function and remodeling, and its pathophysiologic relationship with the left ventricle, as will be cleared in the documented review of echocardiography that follows, considering that the need of universal data on the syndrome of the failing heart does not mean, unfortunately, that all patients and clinicians in developing countries have at their own health facilities the same imaging tools, since they are, as a general rule, expensive.
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影响因子：
37.8
作者：
Barbier, P;Solomon, SB;Glantz, SA
通讯作者：
Glantz, SA
影响因子：
37.8
作者：
LINDERER, T;CHATTERJEE, K;TYBERG, JV
通讯作者：
TYBERG, JV
影响因子：
2.6
作者：
Danzmann, Luiz Cláudio;Freitas, Valéria Centeno de;Torres, Marco Antonio Rodrigues
通讯作者：
Torres, Marco Antonio Rodrigues
DOI：
10.1016/0735-1097(94)90667-x
发表时间：
1994-06-01
影响因子：
24
作者：
GIANNUZZI, P;IMPARATO, A;GIORDANO, A
通讯作者：
GIORDANO, A
影响因子：
39.3
作者：
de Simone, G;Kitzman, DW;Devereux, RB
通讯作者：
Devereux, RB