左心房、右心室应变在心血管疾病中的应用进展

doi:10.3760/cma.j.cn441417-20250113-11009

摘要/Abstract

摘要：

左心房（LA）、右心室（RV）功能与心血管疾病的发生发展、预后密切相关。随着超声仪器和软件不断发展，超声影像技术逐渐成熟。斑点追踪超声心动图（STE）和心脏磁共振特征追踪技术（CMR-FT）可对多种心血管疾病的LA、RV心肌应变进行无创综合分析，改善测量LA、RV体积和结构的单一局限性，早期反映LA、RV心功能障碍及预后情况。本文基于STE和CMR-FT评估LA、RV应变在各种心血管疾病的早期结构及功能改变、危险分层、预后评估等方面的应用进展予以综述，为进一步探索LA、RV应变在心血管疾病中的应用提供依据。

关键词: 心血管疾病, 左心房, 右心室, 应变, 斑点追踪, 磁共振, 进展

Abstract:

Left atrium (LA) and right ventricle (RV) function are closely related to the occurrence, development and prognosis of cardiovascular diseases. With the continuous development of ultrasound instruments and software, ultrasound imaging technology has gradually matured. The cardiac magnetic resonance feature tracking (CMR-FT) and speckle tracking echocardiography (STE) can perform non-invasive comprehensive analysis of LA and RV myocardial strains in a variety of cardiovascular diseases. It can improve the single limitations in measuring the volumes and structures of the LA and RV, and provide early reflection of the cardiac function disorders and prognosis of the LA and RV. This article reviews the application progress of STE and CMR-FT in evaluating the early structural and functional changes, risk stratification, and prognosis assessment of LA and RV strain in various cardiovascular diseases, providing a basis for further exploration of the application of LA and RV strain in cardiovascular diseases.

Key words: Cardiovascular disease, Left atrium, Right ventricle, Strain, Spot tracking, Magnetic resonance, Progress

吴建波刘茜. 左心房、右心室应变在心血管疾病中的应用进展 [J]. 国际医药卫生导报, 2025, 31(11): 1806-1811.

Wu Jianbo, Liu Qian.

Application progress of left atrial and right ventricular strains in cardiovascular diseases [J]. International Medicine and Health Guidance News, 2025, 31(11): 1806-1811.

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