心肌梗死患者左室局域舒张功能的运动幅度成像.docVIP

心肌梗死患者左室局域舒张功能的运动幅度成像 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：心肌梗死患者左室局域舒张功能的运动幅度成像 1 1对象和方法 2 文2：局域网的安全性分析 5 参考文摘引言： 8 原创性声明（模板） 11 文章致谢（模板） 11 正文 心肌梗死患者左室局域舒张功能的运动幅度成像 文1：心肌梗死患者左室局域舒张功能的运动幅度成像 Abstract： ObjectiveTo detect the distance imaging features of regional wall abnormalities in patients with coronary artery disease during each diastolic period, as well as the possibility to evaluate regional left ventricular diastolic function. MethodsA total of 54 patients with anterior myocardial infarction (MI group) and 78 normal subjects (NOR group) underwent Doppler tissue imaging, which was performed in 2chamber view by distance imaging NOR group, D value showed a gradually increasing positive value from the apex to middle and to base of left ventricle, while in MI group, such feature disappeared and it was negative in the infarcted area. In isovolumic relaxation period, the palliatively downward wave appeared in % (76/78) of the subjects in NOR group, and in % (27/54) of the patients in MI group (P). In rapid filling period, both NOR and MI groups showed downward and steep waves, but in MI group, the gradient rule disappeared and D value was negative in the infarcted area (P). In slow filling period, compared with NOR group which showed horizontal wave, MI group had no obviously horizontal waves (P). ConclusionRegional myocardial ischemia and infarction can cause significant regional diastolic wall abnormalities of distance in active diastolic phase. Regional diastolic wall motion abnormalities can be evaluated quantitatively and synchronously with high seitivity by distance imaging which has the potential value in the evaluation of diastolic function. Key words： distance imaging; myocardial infarction; diastolic abnormality; regional ventricle 冠心病早期左心室局域舒张功能异常早已被动物和临床试验证实［1］。但是由于方法和技术的限制，长期以来对舒张期心肌运动特点的研究却较少。近来，定量组织运动幅度曲线已被用于评价左心室局域收缩功能并取得良好效果。本研究使用定量组织运动幅度曲线描记技术，高速捕获心肌组织运动的原始动态信息，对正常人和心肌梗死（MI）病人左心心室舒张各期心肌的运动幅度进行分析，旨在探讨生理和病理情况下左心室不同部位的心肌运动幅度成像特