多巴酚丁胺负荷PLGA心肌造影下二维应变定量评价存活心肌研究
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重庆医科大学附属第二医院,重庆医科大学附属第二医院

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重庆市科委基础与前沿计划一般项目(cstc2013jcyjA10052);重庆市卫生计生委2015年医学科研计划项目(2015MSXM024)


Experimental assessment of myocardial viability by two-dimensional strain analyses during PLGA contrast enhanced dobutamine stress echocardiography
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Department of Ultrasonography,the Second Affiliated Hospital,Chongqing Medical University,Department of Ultrasonography,the Second Affiliated Hospital,Chongqing Medical University

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    目的 探讨PLGA经主动脉心肌造影联合多巴酚丁胺负荷条件下,二维应变评价节段心肌存活性的准确性。方法 30只杂种犬建立急性心肌缺血再灌注模型,经主动脉根部行PLGA心肌造影,通过多巴酚丁胺负荷试验,获取心肌节段二维应变参数。结果 多巴酚丁胺负荷后,非存活节段的收缩期二维峰值应变较静息时无明显升高。存活节段的应变值随剂量增加而升高,与非存活节段比较,二者间有统计学显著性差异。结论 PLGA心肌造影联合多巴酚丁胺负荷试验可以提高超声图像质量,获取二维应变参数,提高评价心肌存活的准确性。

    Abstract:

    Objective The aim of this study was to access method by which identify viable myocardium by two-dimensional strain analysis combined with PLGA contrast enhanced low dose dobutamine stress echocardiography. Methods Thirty cute ischemia reperfusion canine models were reproduced successfully. While real-time myocardial contrast (enhanced with PLGA contrast agents) performed, images were acquired and saved at baseline, rest , and the period low dose dobutamine administration. Measurements of regional peak-systolic strain in longitudinal, radial and circumferential motion on all segments were performed respectively under different condition. Results Compared with nonviable myocardial segment, LS, RS and CS of viable segment increased significantly during dobutamine stress (p <0.05; p <0.01), and LS, RS and CS of the former did not present significant variance at same time (p >0.05). Respective sensitivities for LS, RS, and CS were 81.03%, 77.59%, and 72.41%; respective specificities were 81.3%, 84%, and 78%. Conclusion Two-dimensional strain analysis combined with low dose dobutamine stress echocardiography enhanced with PLGA contrast agent can afford a novel way to distinguish viable myocardium from the non-viable myocardium with a incremental accuracy.

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张群霞,卢岷.多巴酚丁胺负荷PLGA心肌造影下二维应变定量评价存活心肌研究[J].临床超声医学杂志,2016,18(5):

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  • 收稿日期:2016-02-25
  • 最后修改日期:2016-04-12
  • 录用日期:2016-03-29
  • 在线发布日期: 2016-06-27
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