[1]季　翔,张　霞.二维斑点追踪技术在类风湿关节炎患者心血管病变诊断中的应用研究进展[J].新乡医学院学报,2022,39(6):596-600.[doi:10.7683/xxyxyxb.2022.06.020]
　JI Xiang,ZHANG Xia.Research progress on the application of two-dimensional speckle tracking imaging technology in the diagnosis of cardiovascular lesions in patients with rheumatoid arthritis[J].Journal of Xinxiang Medical University,2022,39(6):596-600.[doi:10.7683/xxyxyxb.2022.06.020]
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二维斑点追踪技术在类风湿关节炎患者心血管病变诊断中的应用研究进展
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
39
期数:
2022年6
页码:
596-600
栏目:
综述
出版日期:
2022-06-05

文章信息/Info

Title:
Research progress on the application of two-dimensional speckle tracking imaging technology in the diagnosis of cardiovascular lesions in patients with rheumatoid arthritis
作者:
季　翔1; 张　霞2
(1.盐城市大丰人民医院彩超室，江苏　盐城　224000；2.皖南医学院第一附属医院超声医学科，安徽　芜湖　241000）
Author(s):
JI Xiang1; ZHANG Xia2
(1.Department of Ultrasonography,Yancheng Dafeng People′s Hospital,Yancheng 224000,Jiangsu Province,China；2.Department of Ultrasonography,the First Affiliated Hospital of Wannan Medical College,Wuhu 241000,Anhui Province,China）
关键词:
类风湿关节炎; 心血管系统功能; 超声心动图; 二维斑点追踪技术
Keywords:
rheumatoid arthritis; cardiovascular function; echocardiography; two-dimensional speckle tracking imaging technology
分类号:
R593.22
DOI:
10.7683/xxyxyxb.2022.06.020
文献标志码:
A
摘要:
类风湿关节炎（RA）是一种慢性、全身性炎症性疾病，可并发心血管疾病，包括动脉粥样硬化、急性心肌梗死甚至心力衰竭等。心血管并发症是RA患者死亡的主要原因，准确评估RA患者心血管系统功能对于改善患者预后具有重要的意义。超声心动图具有无创、准确、便捷、经济、实时的特点，已广泛应用于心血管系统功能的评估，但RA患者的心血管并发症起病隐匿，常规超声心动图不能检测到RA患者心血管系统功能的细微变化。新近发展的二维斑点追踪技术(2D-STI)可通过测量心肌应变来反映心脏功能，具有更高的敏感性，已被用于早期评估RA患者心血管病变。本文就RA患者心血管损害机制和临床表现以及常规超声心动图和2D-STI对RA患者心血管病变预测的敏感性和可靠性进行综述，以期为临床准确检测RA患者心血管系统功能提供参考。
Abstract:
Rheumatoid arthritis (RA) is a chronic and systemic inflammatory disease,which can be complicated with cardiovascular disease,including atherosclerosis,acute myocardial infarction and even heart failure.Cardiovascular complications are the main cause of death in RA patients,and accurate evaluation of cardiovascular function of RA patients has important significance in improving the prognosis of patients.Echocardiography has the advantages of noninvasive,accurate,convenient，economical and real time,which has been widely used in the evaluation of cardiovascular function.However,the onset of cardiovascular complications in RA patients is insidious,and routine echocardiography cannot find the subtle changes in cardiovascular function of RA patients.The newly developed two-dimensional speckle tracking imaging (2D-STI) can reflect cardiac function by measuring myocardial strain,which has higher sensitivity and has been used in the early evaluation of cardiovascular lesions in RA patients.This article reviews the mechanism and clinical manifestations of cardiovascular damage in RA patients,as well as the sensitivity and reliability of conventional echocardiography and 2D-STI in predicting cardiovascular lesions in RA patients,in order to provide reference for clinical accurate detection of cardiovascular function in RA patients.

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更新日期/Last Update: 2022-06-05