Takotsubo综合征二维斑点追踪技术及心肌声学造影表现1例
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1.甘肃省人民医院;2.甘肃中医药大学

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甘肃省人民医院院内基金(23GSSYF-31)


Manifestations of two-dimensional speckle tracking imaging and myocardial contrast echocardiography in Takotsubo syndrome:a case report
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gansu provincial hospital

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Gansu Provincial People''s Hospital Hospital(23GSSYF-31)

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    摘要:

    本文介绍一例超声心动图全程随访的71岁女性应激性心肌病患者,其临床结果良好,联合运用二维斑点追踪超声心动图以及心肌声学造影超声心动图,获得左心室18节段心肌纵向及圆周应变值、心肌微循环血流灌注参数,定量评估了该疾病心肌力学受损及心肌微循环障碍情况,通过随访该病例室壁运动及心肌灌注恢复情况,发现该例患者左室心肌力学受损与心肌微循环灌注减低之间具有良好的负相关,这进一步增加了我们对该疾病的认识,再次强调联合运用这两种超声新技术随访该疾病的必要性和重要性,这对指导临床实践中明确诊断、早期治疗、评估疗效及改善预后提供了不可或缺的客观依据。

    Abstract:

    In this article, we present a case of a 71-year-old female patient with stress cardiomyopathy with good clinical outcome who was followed up throughout the echocardiographic process. The combined use of two-dimensional speckle-tracking echocardiography as well as myocardial contrast echocardiography to obtain myocardial longitudinal and circumferential strain values of the left ventricle in the 18th segment and myocardial microcirculatory perfusion parameters quantitatively evaluated impaired left ventricular myocardial mechanics and myocardial microcirculatory disorders of the disease, and through the followup of this By following up the recovery of ventricular wall motion and myocardial perfusion, we found that there was a good negative correlation between the impaired left ventricular myocardial mechanics and reduced myocardial microcirculatory perfusion in this case, which further increased our understanding of this disease, and emphasized the necessity and importance of the joint use of the two new ultrasound techniques to follow up this disease, which provides an indispensable objective basis for guiding the clinical practice to make a definitive diagnosis, treat the patient in an early stage, and assess the efficacy of the treatment, as well as to improve the prognosis. This provides an indispensable objective basis for guiding clinical practice in clarifying diagnosis, early treatment, evaluating efficacy and improving prognosis.

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刘家佳,张睿,史文佳,秦丫红,谢萍,褚嫒嫒. Takotsubo综合征二维斑点追踪技术及心肌声学造影表现1例[J].临床超声医学杂志,2025,27(4):350-352

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  • 收稿日期:2024-10-21
  • 最后修改日期:2025-03-05
  • 录用日期:2024-11-07
  • 在线发布日期: 2025-04-30
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