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笔记整理人:炼丹兄(已授权)
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联系方式:微信cyx645016617(欢迎交流互相学习)
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论文名称:“Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography: An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging”
1 缩写学习
- AR:Aortic regurgitation 主动脉返流
- GLS : Global longitudinal strain 整体纵向应变
- HCM = Hypertrophic cardiomyopathy 肥厚型心肌病
- dysfunction 功能障碍
- LVEDP = Left ventricular end-diastolic pressure 左心房舒张末压
- LAP = Left Atrial Pressure 左心房压
- PCWP = Pulmonary capillary wedge pressure 肺毛细血管压力
2 doppler parameters
- E峰峰值流速(cm/sec):舒张期早期(心电图T波后)频谱波形前缘的峰值速度;
- A峰峰值流速(cm/sec):舒张期晚期(ECG P波后)频谱波形前缘的峰值速度;
- 二尖瓣A峰持续时间(msec):从A波开始到零基线处A波结束的时间间隔。如果E和A融合(当A波速度开始时E波速度>20厘米/秒),A波持续时间通常会更长,因为心房充盈量增加。
- E/A:E速度除以A波速度;
- 持续时间(DT):沿左心室充盈斜率的峰值E波到零速度基线的时间间隔;
- 脉冲波TDI e‘ 速度:舒张期早期频谱波形前缘峰速度
- E/e‘:E速度除以e’速度;
2.2 异常四标准
In summary, the following four variables should be evaluated when determining whether LV diastolic function is normal (Figure 7) or abnormal. The presence of several abnormal findings as well as cutoff values with high specificity for myocardial disease is recommended to decrease false positive diagnoses of diastolic dysfunction.
- e’ velocity :
- septal e’ < 7 cm/sec;
- lateral e’ < 10 cm/sec;
- average E/e’ ratio > 14
- LA maximum volumn index > 34 m l / m 2 ml/m^2 ml/m2
- peak TR velocity > 2.8 m/sec 最大三尖瓣流速
- 舒张末期出现的多普勒参数与LVEDP的相关性最好,这些包括:
- peak A velocity
- A-wave duration
- A velocity deceleration time
- pulmonary vein peak velocity(肺静脉峰值流速)