Wall motion by Doppler tissue imaging and cardiac function in Overview.docVIP

 PAGE \* MERGEFORMAT 21 Wall motion by Doppler tissue imaging and cardiac function in Overview [Keywords:] Ultrasonography, Doppler; cardiac insufficiency / diagnosis All kinds of heart disease, heart failure develops to a certain stage of the emergence of the clinical syndrome [1]. Common related diseases: hypertension with left ventricular hypertrophy, coronary heart disease, diabetes, chronic renal insufficiency, cardiac conduction system disease, hypertrophic or restrictive cardiomyopathy, cardiac allograft rejection reactions. diastolic dysfunction, systolic dysfunction may be present in the early performance or simultaneously with systolic dysfunction, with systolic dysfunction or may not exist in isolation. pure diastolic dysfunction caused by diastolic heart failure in patients with congestive heart failure about all of the l / 3 [2], the corresponding measures are also different from the treatment of cardiac systolic dysfunction, diastolic dysfunction therefore correctly identify the clinical significance is very important [3]. In the past ordinary echocardiography evaluation of left ventricular systolic function commonly used indicators are: ejection fraction (LVEF) .20 from the 70’s use of M-mode echocardiography for left ventricular systolic function parameters observed, due to a single left ventricular surface to estimate the left ventricular volume, if there is segmental motion abnormalities during exercise or contradiction, because the location of the probe can not represent the whole ventricle, the measurement results become unreliable [4]. ordinary echocardiography the left ventricular diastolic evaluation functions used are: mitral inflow, but the spectral Doppler mitral flow spectrum of left ventricular function as reflected in the frequent breathing, age, heart rate, before and after the load of the heart, myocardial contractile function and relaxation , stiffness and other factors. tissue Doppler imaging (tissue doppler imaging, TDI),