类风湿关节炎即损伤自身关节的炎症性免疫系统疾病,常累及心血管系统,导致心肌、心瓣膜、冠状动脉等结构损伤,心血管疾病提高了这类患者的死亡率,占所有死亡的40%~50%,成为主要死因。早期阶段发现类风湿关节炎患者的心脏损伤和及时的治疗干预可以有效地减少这些患者的死亡率。近十几年,在评估早期心功能损伤方面,斑点追踪成为超声检查领域的热点技术,可为临床提供可靠的亚临床期左室收缩功能损伤的参考依据,压力应变环技术是在斑点追踪技术基础上继续升级的新检测手段,在类风湿关节炎疾病的未来进展需进一步探索。
Rheumatoid arthritis is an inflammatory disease of the immune system that damages its own joints. It often involves the cardiovascular system, leading to damage to the myocardium, heart valves, coronary arteries and other structures. Cardiovascular disease is the main cause of increased mor-tality in this type of patients, accounting for 40%~50% of all deaths. Early detection of heart dam-age in patients with rheumatoid arthritis and timely treatment intervention can effectively reduce the mortality of these patients. In recent years, tracking and evaluation of myocardial injury of spots become hot spot in the field of ultrasound technology, can provide reliable for clinical stage of subclinical left ventricular systolic function lesion of reference; stress and strain loop technology is based on the spot tracking technology development of new technologies, in rheumatoid arthritis to further explore the future progress of the disease.
Current Status and Prospect of Speckle Tracking and Pressure-Strain Loop in the Assessment of Early Left Ventricular Contraction in Patients with Rheumatoid Arthritis
Juan Liu1, Hongguang Sun2*
1Department of Ultrasound, Medical Imaging Center, Affiliated Hospital of Yangzhou University, Yangzhou Jiangsu
Rheumatoid arthritis is an inflammatory disease of the immune system that damages its own joints. It often involves the cardiovascular system, leading to damage to the myocardium, heart valves, coronary arteries and other structures. Cardiovascular disease is the main cause of increased mortality in this type of patients, accounting for 40%~50% of all deaths. Early detection of heart damage in patients with rheumatoid arthritis and timely treatment intervention can effectively reduce the mortality of these patients. In recent years, tracking and evaluation of myocardial injury of spots become hot spot in the field of ultrasound technology, can provide reliable for clinical stage of subclinical left ventricular systolic function lesion of reference; stress and strain loop technology is based on the spot tracking technology development of new technologies, in rheumatoid arthritis to further explore the future progress of the disease.
刘 娟,孙红光. 斑点追踪及压力应变环技术对类风湿关节炎病人早期左室收缩状况的评估现状及展望Current Status and Prospect of Speckle Tracking and Pressure-Strain Loop in the Assessment of Early Left Ventricular Contraction in Patients with Rheumatoid Arthritis[J]. 医学诊断, 2022, 12(04): 271-278. https://doi.org/10.12677/MD.2022.124044
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