赣南医学院学报2024,Vol.44Issue(7) :691-697.DOI:10.3969/j.issn.1001-5779.2024.07.006

超声心动图评估肝硬化患者心脏病变的研究进展

Advances in the study of echocardiographic assessment of cardiac lesions in patients with liver cirrhosis

许玉洁 夏怡浓 陈卫华
赣南医学院学报2024,Vol.44Issue(7) :691-697.DOI:10.3969/j.issn.1001-5779.2024.07.006

超声心动图评估肝硬化患者心脏病变的研究进展

Advances in the study of echocardiographic assessment of cardiac lesions in patients with liver cirrhosis

许玉洁 1夏怡浓 1陈卫华2
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作者信息

  • 1. 赣南医科大学第一临床医学院
  • 2. 赣南医科大学第一附属医院超声医学科,江西 赣州 341000
  • 折叠

摘要

肝硬化性心肌病(Cirrhotic cardiomyopathy,CCM)是指终末期肝病患者在排除其他既往心脏病的基础上,因系统血流动力学改变引起的慢性心功能不全.既往研究表明,超负荷容量及超动力循环可导致肝硬化患者心脏结构及功能改变.因此,应用超声心动图早期评估其心脏病变,以适时干预病变发生发展,是改善预后的核心环节.本文就近年来各种超声心动图技术评估肝硬化患者的心脏结构、功能及血流动力学等研究进展进行综述,并提出联合多种超声心动图新技术能相互取长补短,提供更全面的定量分析.

Abstract

Cirrhotic cardiomyopathy(CCM)is a chronic cardi ac insufficiency caused by systemic hemodynamic changes in patients with end-stage liver disease in the absence of other previous heart disease.Previous studies have shown that volume overload and hyperdynamic circulation can lead to structural and functional changes in the heart of cirrhotic patients.Therefore,early assessmeent of cardiac lesions by echocardiography and timely intervention are central to improving the prognosis of patients with cirrhosis.In this article will,we review the progress of various echocardio graphic techniques in recent years to assess the cardiac structure,function and hemodynamics of cirrhotic patients,and suggesting that com-bining various echocardiographic techniques can complement each other to provide a more comprehensive quantitative analysis.

关键词

肝硬化/肝硬化性心肌病/组织多普勒成像/斑点追踪成像技术/实时三维超声心动图/无创心肌做功

Key words

Cirrhosis/Cirrhotic cardiomyopathy/Tissue doppler imaging/Speckle tracking imaging technology/Real time three-dimensional echocardiography/Non-invasive myocardial work

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出版年

2024
赣南医学院学报
赣南医学院

赣南医学院学报

影响因子:0.622
ISSN:1001-5779
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