Assessment of left ventricular diastolic function: comparison of Doppler echocardiography and gated blood pool scintigraphy.
Assessment of left ventricular diastolic function: comparison of Doppler echocardiography and gated blood pool scintigraphy.
复制标题
左心室舒张功能的评估：多普勒超声心动图和门控血池闪烁扫描的比较。
DOI：
10.1016/s0735-1097(86)80307-2
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发表时间：
1986
影响因子：
24
通讯作者：
A. DeMaria
中科院分区：
文献类型：
--
作者：
B. Friedman;N. Drinković;H. Miles;W. Shih;A. Mazzoleni;A. DeMaria
虽然左心室舒张期充盈模式可以通过多普勒速度记录和门控血池造影来检查，但是关于这些技术的比较的数据很少。因此，对25例患者进行了多普勒超声心动图和心血管造影的比较。脉冲多普勒超声心动图使用心尖四腔视图进行，样本量在二尖瓣环水平。多普勒测量包括舒张早期充盈波的峰值速度、收缩末期和舒张末期至舒张早期峰值速度的时间、舒张时间段和舒张期积分速度（早期、心房和总）。二尖瓣环的横截面积和左心室舒张末期容积估计从心尖四腔视图上进行的测量。超声心动图测量正常峰值充盈率、舒张末期和收缩末期充盈率恢复正常的时间、舒张早期和心房充盈期的舒张时间和相对舒张期充盈，多普勒超声心动图和心功能图可较好地评价早期Ailing分数（r = 0.84）与心房收缩期（r = 0.85）、早期充盈与心房充盈比值（r = 0.83）、舒张期充盈时间（r = 0.94）、舒张末期至舒张早期峰值血流间期（r = 0.88）相关。这两种技术的标准化峰值充盈率和从收缩末期到标准化峰值充盈率的时间没有密切相关。标准化峰值充盈率的差异可能是由于难以估计二尖瓣环横截面积和左心室舒张末期容积。从收缩末期到峰值血流的时间的弱相关性是包括等容舒张的结果，多普勒超声心动图，而不是它的排除，因此，多普勒超声心动图和门控血池造影提供了可比的信息，当测量相同的变量时，左心室充盈，这两种方法可能是有价值的评估左心室舒张性能。
Although left ventricular diastolic filling patterns can be examined by both Doppler velocity recordings and gated blood pool scintigraphy, few data exist regarding a comparison of these techniques. Therefore, Doppler echocardiography and scintigraphy were compared in 25 patients. Pulsed Doppler echocardiography was performed using an apical four chamber view with the sample volume at the level of the mitral anulus. Doppler measurements included peak velocity of the early diastolic filling wave, time to peak early diastolic velocity from both end-systole and end-diastole, diastolic time period and diastolic integrated velocity (early, atrial and total). The cross-sectional area of the mitral anulus and the left ventricular end-diastolic volume were estimated from measurements made on the apical four chamber view. Scintigraphic measurements included normalized peak filling rate, time to normalized filling rate from both end-diastole and end-systole, diastolic time period and relative diastolic filling during early and atrial filling.Doppler echocardiography and scintigraphy com- pared favorably in assessment of fractional Ailing during early diastole (r = 0.84) and atrial systole (r = 0.85), ratio of early to atrial filling (r = 0.83), diastolic filling period (r = 0.94) and interval from end-diastole to peak early diastolic flow (r = 0.88). Normalized peak filling rate and time to normalized peak filling rate from end-systole did not correlate closely by these two techniques. The differences in normalized peak filling rate may be explained by difficulties in estimating mitral anulus cross-sectional area and left ventricular end-diastolic volume. The weak correlation for time from end-systole to peak flow was a result of the inclusion of isovolumic relaxation by scintigraphy, as opposed to its exclusion by Doppler echocardiography.Thus, both Doppler echocardiography and gated blood pool scintigraphy provide comparable information regarding left ventricular filling when identical variables are measured, and both methods may be of value in assessing left ventricular diastolic properties.
影响因子：
37.8
作者：
LEWIS, JF;KUO, LC;QUINONES, MA
通讯作者：
QUINONES, MA