二维应变技术对非ST段抬高型急性冠脉综合征危险分层的价值.docxVIP

二维应变技术对非ST段抬高型急性冠脉综合征危险分层的 价值 崔健嫦1黄积雄2赖浚兴3 （1广东省江门市屮心医院超声科529030） （2广东省江门市屮心医院呼吸科 529030） （3广东省江门市屮心医院心血管内科529030） 【摘要】目的 探讨超声二维应变技术（2DSI）在非ST段抬高型急性冠状 动脉综合征（NSTE?ACS）患者危险分层的价值。方法 入选2012年1月至2013 年3月在我院诊断为NSTE-ACS患者60例,依据GRACE危险枳分作危险分层（高、 屮、低危组，*20）。应用2DSI测量各组患者左室各心肌节段收缩期最大纵向应 变（⑸、径向应变（RS）、圆周应变（CS）、心尖部扭转角度（RA）等，对最大应变 值的均值进行组间比较，并与GRACE危险积分进行相关性分析。结果 1.NSTE-ACS患者的左室收缩期LS、RS、CS峰值的均值均与GRACE危险积分呈负 相关（r分别为063、072、-0.57, PV0.05）,心尖部RA与GRACE危险积分无 明显相关（P0.05）o 2.高危组患者左室收缩期LS、RS、CS均显著低于屮、低危 组（P0.01）o结论2DSI能无创定量分析NSTE-ACS患者的左室心肌应变，部 分应变峰值提示NSTE-ACS风险程度，2DSI对NSTE-ACS危险分层起重要的评价作 用。 【关键词】二维应变 非ST段抬高型急性冠脉综合征 GRACE危险积分 【中图分类号】R54 【文献标识码】A 【文章编号】2095-1752 （2014） 04-0088-02 The predicting value of two dimensional strain imaging on risk stratification in patie nts with non?ST elevatio n acute cor on ary syn drome. Cui jia ncha ng, Hua ng jixiong, Lai junxing, et al. Department of Medical Ultrasound, Jiangmen central hospital, Guangdong, 529000, China 【Abstract] Objective To investigate the predict!ng value of two dimensional strain imaging (2DSI) on risk stratification in patients with non-ST elevation Acute cor on ary syn dromes (NSTE-ACS). Methods 60 patie nts with non- ST elevatio n acute cor on ary syn drome were en rolled in this study duri ng Jan 2012 to March 2013. The GRACE risk score was used for risk assessment to divide the patients into 3 groups (high, mild and low risk groups). 2DSI was used to determine the left ventricle Iongitudinal strain (LS), radial strain (RS), circumferential strain (CS) rate curves and rotation angle (RA). Results l.The patientsrsquo; LS, RS and CS were negatively associated with GRACE risk score (r for LS, RS and CS were -0.63、-0.72、-0.57 respectively, P0.05), but no significant correlation was found between RA and GRACE risk score; 2? Compared with mild and low groups, high risk group were sign讦icantly decreased in these parameters as LS, RS and CS. Conclusion 2DSI is an effective manner in evaluating the risk stratification in patients with no