2025 AHA科学声明：斑点追踪应变超 声心动图用于左心室结构和功能的评估.pdfVIP

Circulation

AHASCIENTIFICSTATEMENT

Speckle-TrackingStrainEchocardiographyfor

theAssessmentofLeftVentricularStructure

andFunction:AScientificStatementFromthe

AmericanHeartAssociation

ChristosG.Mihos,DO,ViceChair;JenniferE.Liu,MD;KelleyM.Anderson,PhD,RN,FNP;

MariaAlexandraPernetz,RDCS,RVT,RCCS,ACS;JamieM.O’Driscoll,PhD;GerardP.Aurigemma,MD;

FranciscoUjueta,MD,FAHA;PriscillaWessly,MD,Chair;onbehalfoftheAmericanHeartAssociationCouncilonPeripheral

VascularDisease;CouncilonCardiovascularandStrokeNursing;andCouncilonClinicalCardiology

ABSTRACT:Assessmentofleftventricularsystolicfunctionisessentialfordiagnosingandmanagingcardiacdiseases

andprovidesimportantprognosticinformationtothetreatingclinician.However,traditionalmethodsforassessingleft

ventricularsystolicfunctionsuchasejectionfractionarelimitedbytheirrelianceongeometricassumptions,subjective

readerinterpretation,sensitivitytoloadingconditionsandvolume,andreflectionofasingleplaneofmotion.Inaddition

tointerobserverandintraobservervariabilityandtechnicalconfounders,thisevaluationiscomplicatedbythecomplex

3-dimensionalorganizationofthemyocardialfibers,whichareorientedlongitudinallyinthesubendocardium,transversely

inthemidmyocardium,andobliquelyinthesubepicardium.Conversely,2-dimensionalspeckle-trackingechocardiography

measuresleftventriculardeformationasmyocardialstraininthe3planesofchambermotion:longitudinal,circumferential,

andradial.Fromaclinicalperspective,leftventriculargloballongitudinalstrainofferssuperiordiagnosticandprognosticvalue

acrossthespectrumofcardiovasculardisorderscomparedwithejectionfraction,ishighlyreproducible,anddetectssubclinical

dysfunctionbefore