WU Huadong, JIAO Lidong. Value of multi-slice spiral CT and echocardiogram in evaluation of right heart function in patients with acute pulmonary embolism[J]. Journal of Clinical Medicine in Practice, 2020, 24(19): 5-8. DOI: 10.7619/jcmp.202019002
Citation: WU Huadong, JIAO Lidong. Value of multi-slice spiral CT and echocardiogram in evaluation of right heart function in patients with acute pulmonary embolism[J]. Journal of Clinical Medicine in Practice, 2020, 24(19): 5-8. DOI: 10.7619/jcmp.202019002

Value of multi-slice spiral CT and echocardiogram in evaluation of right heart function in patients with acute pulmonary embolism

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  • Received Date: July 04, 2020
  • Objective To explore the value of multi-slice spiral CT and echocardiogram in evaluating the right heart function in patients with acute pulmonary embolism. Methods A total of 90 patients with acute pulmonary embolism admitted from October 2017 to December 2019 were retrospectively selected as observation group, and 90 patients without pulmonary embolism who received physical examination during the same period were selected as control group. The results of multi-slice spiral CT test, echocardiogram test and cardiac function[plasma brain natriuretic peptide(BNP), left ventricular ejection fraction(LVEF), and left ventricular end-diastolic diameter(LVEDd)]were recorded in two groups. Results The findings of multi-slice spiral CT showed that ratio of the maximum inner diameter of right ventricle to left ventricle(RVD/LVD), the ratio of the maximum distance between the left ventricle and right ventricle(RV-LD/LV-LD), and the ratio of the maximum cross-sectional area of right ventricle to left ventricle(RVA/LVA)of the observation group were significantly higher than those of the control group(P<0.05), but the ratio of the inner diameter of main pulmonary artery to the aorta(PA/AO)between two groups showed no significant difference(P>0.05). The findings of echocardiogram showed that the ratio of left to right ventricular transverse diameter(RVTD/LVTD), pressure difference of tricuspid regurgitation(TRPG), inner diameter of the main pulmonary artery(PA)of the observation group were significantly higher than those of the control group(P<0.05); the level of BNP of the observation group was significantly higher, and left ventricular - end-diastolic diameter(LVEDd)was significantly greater, and left ventricular ejection fraction(LVEF)was significantly lower than those of the control group(P<0.05). Conclusion Multi-slice spiral CT and echocardiography can provide reliable imaging basis for the evaluation of right heart function in patients with acute pulmonary embolism.
  • 王青松, 王虹, 白雪冬, 等. 多层螺旋CT与超声心动图对急性肺栓塞患者右心功能的评估价值[J]. 中国CT和MRI杂志, 2019, 17(10): 32-34.
    中华医学会呼吸病学分会肺栓塞与肺血管病学组, 中国医师协会呼吸医师分会肺栓塞与肺血管病工作委员会, 全国肺栓塞与肺血管病防治协作组. 肺血栓栓塞症诊治与预防指南[J]. 中华医学杂志, 2018, 98(14): 1060-1087.
    胡圣, 薛金红, 张成, 等. 心电图在急性肺栓塞患者右心功能不全和预后评估中的价值[J]. 江苏医药, 2020, 46(1): 51-54.
    刘冬梅, 杨扬, 黄冬冬, 等. 脑钠肽对急性肺栓塞患者右心功能不全的预测价值[J]. 现代中西医结合杂志, 2019, 28(26): 2870-2873

    , 2905.
    刘冬梅, 张超, 黄冬冬, 等. 心电图胸前导联倒置T波的正常化与急性肺栓塞右室功能受损改善的相关性分析[J]. 实用医学杂志, 2018, 34(16): 2780-2782.
    王刚, 毕聪. 多层螺旋CT诊断急性肺栓塞的临床有效性分析[J]. 影像技术, 2020, 32(2): 46-48.
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