CAJ | 학술논문

目的探讨速度向量成像(velocity vector imaging,VVI)技术评估DDD起搏前后左心室心肌收缩同步性的应用价值.方法 13例DDD起搏患者,于手术前后应用VVI在系列心尖长轴及胸骨旁短轴观上显示左室速度向量图.心尖长轴观测量各节段收缩期纵向速度达峰时间(Tvl)和纵向应变达峰时间(Tsl),胸骨旁短轴观测量收缩期径向速度达峰时间(Tvr)和环向应变达峰时间(Tsc),并计算节段达峰时间的标准差(Tvl-SD,Tsl-SD,Tvr-SD,Tsc-SD)及任意两节段间最大达峰时间差值(Tvl-d,Tsl-d,Tvrd,Tsc-d).结果与术前相比,术后左室收缩不同步指标Tvr-SD,Tsc-SD,Tsl-d,Tvr-d,Tsc-d均显著增加,差异有统计学意义(P＜0.05).结论 DDD起搏后左室心肌在纵向、径向和环向上均存在显著的收缩不同步.VVI技术可准确评价DDD起搏前后左室心肌收缩的同步性.
목적 탐토속도향량성상(velocity vector imaging,VVI)기술평고DDD기박전후좌심실심기수축동보성적응용개치.방법 13례DDD기박환자,우수술전후응용VVI재계렬심첨장축급흉골방단축관상현시좌실속도향량도.심첨장축관측량각절단수축기종향속도체봉시간(Tvl)화종향응변체봉시간(Tsl),흉골방단축관측량수축기경향속도체봉시간(Tvr)화배향응변체봉시간(Tsc),병계산절단체봉시간적표준차(Tvl-SD,Tsl-SD,Tvr-SD,Tsc-SD)급임의량절단간최대체봉시간차치(Tvl-d,Tsl-d,Tvrd,Tsc-d).결과 여술전상비,술후좌실수축불동보지표Tvr-SD,Tsc-SD,Tsl-d,Tvr-d,Tsc-d균현저증가,차이유통계학의의(P＜0.05).결론 DDD기박후좌실심기재종향、경향화배향상균존재현저적수축불동보.VVI기술가준학평개DDD기박전후좌실심기수축적동보성.
Objective To assess the left ventricular(LV)contraction synchrony in patients with DDD pacing by velocity vector imaging(VVI).Methods Acoustic clip capture was performed in 13 patients before and after pacemaker implantation and obtained high-frame rate B-mode echocardiographic images.VVI was done in all three standard LV apical views and parasternal LV short axis(SAX)views.The time to peak systolic longitudinal velocity(Tvl)and systolic longitudinal strain(Ts1)in the LV apical views and the time to peak systolic radial velocity(Tvr)and systolic circumferential strain(Tsc)in the LV SAX views were measured bv VVI.The standard deviation of Tvl,Tsl,Tvr and Tsc(Tvl-SD,Tsl-SD,Tvr-SD and TscSD)and the maximal temporal difference of Tvl,Tsl,Tvr and Tsc(Tvl-d,Tsl-d,Tvr-d and Tsc-d)of 18 segments were calculated.Results Compared with the values at baseline,Tvr-SD,Tsc-SD,Tsl-d,Tvr-d and Tsc-d increased significantly in patients after pacemaker implantation(P＜0.05).Conclusions The longitudinal,radial and circumferential systolic asynchrony of the LV was commonly existed in patients after DDD pacing.VVI can be used to evaluate the systolic synchrony of the LV in patients with DDD pacing.