摘要
ObjectivesThestudywasperformedtoassesstheleftventricular(LV)regionalandglobaldiastolicfunction,leftventricularwallmotionfeaturesinpatientswithHypertrophiccardiomyopathybyQuantitativeTissueVelocityImaging(QTVI).Methods42patientswithhypertrophiccardiomyopathyand36age-matchednormalsubjectsunderwentQTVIstudy.Off-lineLVregionalmusculartissuevelocityImagingalongLVapicallong-axisviewwereobtained.RegionaldiastolicfunctionwasassessedinusingpeaktissuevelocitiesofLVregionalmusculartissueduringearlydiastole(Ve)andLAcontraction(Va),Ve/Varatio,derivedfromTissueVelocityImaging.Globaldiastolicfunctionwasreflectedbyisovolumicrelaxationtime(IRT)andmitralvalvepeakflowvelocity(E/A)calculatedwithpulsedwavedoppler.Theend-diastolicinterventricularseptalthickness(IVSt)wasmeasuredbyconventional2-dimensionechocardiography.Results①Ve,Va,Ve/Vainthesegmentsofhypertrophicinterventricularseptum(IVS)reducedwlhileE/AratiosignificantlyreducedandIRTmarkedlyprolongedinHCMpatientsthaninnormalsubjects.②Ve,Ve/VaweresignificantreducedinthesegmentsofhypertrophicinterventricularseptumcomparedwithotherLVsegmentsinHCMpatients.③TherewasacorrelationbetweenVe/VaandE/AinHCMpatientswithabnormalE/Aratio(r=0.70).④TherewasanegativecorrelationbetweenVe/VaandIVStinnon-obstructionHCMpatients(Bgroup,r=-0.61)ConclusionsQTVIoffersanewermethodinclinicalpracticewhichhasahighersensibilityandaccuracyinevaluatingtheLVregionalandglobaldiastolicfunctioninHCMpatients.
出版日期
2003年02月12日（中国期刊网平台首次上网日期，不代表论文的发表时间）
