白癜风患者 http://m.39.net/pf/bdfyy/bdfhl/CurrentRoleofEchocardiographyinCardiacResynchronizationTherapy:fromCardiacMechanicstoFlowDynamicsAnalysisCurrHeartFailRepImaginginHeartFailure(JSchulz-Menger,SectionEditor)EarlyRecent,Sept26,./s---w本文由“天纳”临床学术信息人工智能系统自动翻译点击文末“阅读原文”下载本文PDFPurposeofReviewTheaimofthisreviewistosummarilyexplainwhatLVsynchrony,coordination,myocardialwork,andflowdynamicsare,tryingtoclarifytheiradvantagesandlimitationsinthetreatmentofheartfailurepatientsundergoingorwithimplantedcardiacresynchronizationtherapy(CRT).本文综述了左室同步性、协调性、心肌功和血流动力学是什么，试图阐明它们在接受或植入心脏再同步化治疗（CRT）的心力衰竭患者治疗中的优势和局限性。RecentFindingsCRTisanestablishedtreatmentforpatientswithheartfailureandleftventricularsystolicdysfunction.Inthecurrentguidelines,CRTimplantindicationsrelyonlyonelectricaldyssynchrony,butinthelastyears,manyaspectsofcardiacmechanics(includingcontractilesynchrony,coordination,propagation,andmyocardialwork)andflowdynamicshavebeenstudiedusingechocardiographictechniquestobettercharacterizepatientsundergoingorwithimplantedCRT.However,theconcepts,limits,andpotentialapplicationsofalltheseechocardiographicevaluationsareuncleartomostclinicians.CRT是治疗心力衰竭和左室收缩功能不全的公认治疗方法。在目前的指南中，CRT植入适应症仅依赖于电不同步，但在过去的几年里，心脏力学的许多方面（包括收缩同步性、协调性、传播和心肌功）和血流动力学已经被应用超声心动图技术进行了研究，以更好地描述正在接受或植入CRT。然而，大多数临床医生并不清楚所有这些超声心动图评估的概念、限制和潜在应用。SummaryTheuseofleftventriculardyssynchronyanddiscoordinationindicesmayhelptoidentifythosesignificantmechanicalalterationswhosecorrectionmayincreasetheprobabilityofafavorableCRTresponse.Assessmentofmyocardialworkandintracardiacflowdynamicsmayover
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