More on the noninvasive diagnosis of pulmonary hypertension: Doppler echocardiography revisited.
More on the noninvasive diagnosis of pulmonary hypertension: Doppler echocardiography revisited.
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更多关于肺动脉高压的无创诊断：多普勒超声心动图回顾。
DOI：
10.1183/09031936.95.08091445
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发表时间：
1995
期刊：
影响因子：
--
通讯作者：
A. Torbicki
中科院分区：
文献类型：
--
作者：
R. Naeije;A. Torbicki
肺动脉高压的非侵入性诊断通常包括体格检查、心电图、胸部X线片、放射性核素血管造影和超声心动图。这些方法可以区分轻度和重度压力升高，但缺乏足够的灵敏度，无法用于评价短期治疗干预或监测患者的临床过程[1，2]。自1980年以来，超声多普勒技术的进步使得通过研究三尖瓣反流（TR）射流和肺血流速度波来改善肺动脉压（Ppa）和肺血管阻力（PVR）的估计成为可能[3]。肺动脉高压的超声多普勒评价已进入常规心脏病学实践，但仍被认为不如右心导管插入术[4，5]。该意见可能基于对多普勒记录的信息内容的不充分评价。
The noninvasive diagnosis of pulmonary hypertension generally includes a physical examination, an electrocardiogram, a chest roentgenogram, a radionuclide angiography, and an echocardiography. These methods can discriminate mild from severe elevation in pressure, but lack sufficient sensitivity to be useful in the evaluation of short-term therapeutic interventions or in the monitoring of the clinical course of patients [1, 2]. Advances in echo-Doppler technology in the years since 1980 have made it possible to improve the estimation of pulmonary artery pressures (Ppa) and pulmonary vascular resistance (PVR) by the study of tricuspid regurgitation (TR) jets and pulmonary flow-velocity waves [3]. The echoDoppler evaluation of pulmonary hypertension has since entered routine cardiological practice, but is still considered inferior to a right heart catheterization [4, 5]. This opinion may be based on an insufficient appreciation of the information content of the Doppler recordings.