| Citation: |
WANG Chunhua, WANG Jun, CHEN Baoding, XIE Yang. Evaluation value of pressure-strain loops in the changes of left ventricular myocardial work in patients with metabolic syndrome[J]. Journal of Clinical Medicine in Practice, 2022, 26(24): 61-65. DOI: 10.7619/jcmp.20223082
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To investigate the changes of left ventricular myocardial work in patients with metabolic syndrome (MS) assessed by pressure-strain loops (PSL).
Sixty-eight patients with MS were included in study group, and 50 patients with healthy physical examination during the same period were included in control group. No left ventricular remodeling occurred in all MS patients. Left ventricular parameters were evaluated by echocardiography and left ventricular mass index (LVMI) was calculated. PSL was used to measure Global Work Index (GWI), Global Work Efficiency (GWE), Global Constructive Work (GCW), Global Work Waste (GWW) and other parameters of global left ventricular myocardial work. The changes of global left ventricular work parameters and echocardiographic parameters were compared between the two groups.
There were no significant differences in height, gender, age and body surface area between the two groups (P>0.05), while there were significant differences in body mass, body mass index, blood pressure, blood glucose and blood lipid indexes between the two groups (P < 0.05). There were no significant differences in left ventricular end-diastolic diameter (LVEDd) and left ventricular ejection fraction (LVEF) between the two groups (P>0.05). There were statistically significant differences in left ventricular end-diastolic volume (LVEDV), left ventricular end-systolic volume (LVESV), left ventricular posterior wall thickness at end diastole (LVPWTd), interventricular septal wall thickness at end diastole (IVSTd) and LVMI between the two groups (P < 0.05). Compared with the control group, GWI, GWE, GCW and GLS of the study group were significantly lower than those of the control group, while GWW was significantly higher than that of the control group (P < 0.05). Pearson analysis showed that GWI, GWE and GCW were positively correlated with GLS (r=0.81, 0.79, 0.75, P < 0.01), while GWW was negatively correlated with GLS (r=-0.71, P < 0.01). GWI, GWE and GCW were positively correlated with LVEF (r=0.68, 0.65, 0.66, P < 0.01), while GWW was negatively correlated with LVEF (r=-0.60, P < 0.01). The intra-group correlation coefficients of GWI, GWE, GCW and GWW were 0.958, 0.927, 0.948 and 0.925, and the inter-group correlation coefficients were 0.918, 0.947, 0.925 and 9.943, respectively.
PSL can quantitatively assess changes in left ventricular work in MS patients with good consistency.
| [1] |
张鹏英, 薛婷, 陈允安, 等. 无创左室压力-应变环定量评估经皮冠状动脉介入治疗患者心肌做功情况[J]. 临床超声医学杂志, 2021, 23(5): 337-341. doi: 10.3969/j.issn.1008-6978.2021.05.006
|
| [2] |
CORSINI A, FERRI N, PROIETTI M, et al. Edoxaban and the issue of drug-drug interactions: from pharmacology to clinical practice[J]. Drugs, 2020, 80(11): 1065-1083. doi: 10.1007/s40265-020-01328-6
|
| [3] |
李亚南, 崔存英, 刘园园, 等. 左室压力-应变环评估慢性心力衰竭患者左心室心肌做功的价值[J]. 中华超声影像学杂志, 2020, 29(1): 13-18. doi: 10.3760/cma.j.issn.1004-4477.2020.01.003
|
| [4] |
申凯凯, 朱好辉, 丁晓, 等. 无创左室压力应变曲线在评估血液透析患者左室心肌做功中的应用[J]. 中华超声影像学杂志, 2020, 29(6): 505-510. doi: 10.3760/cma.j.cn131148-20191023-00643
|
| [5] |
MARTIN JUÁREZ J, MARTÍNEZ-PÁRAMO S, MATÉ-GONZÁLEZ M, et al. Evaluation of pretreatments for solubilisation of components and recovery of fermentable monosaccharides from microalgae biomass grown in piggery wastewater[J]. Chemosphere, 2021, 268: 129330. doi: 10.1016/j.chemosphere.2020.129330
|
| [6] |
孙立娟, 肖丞炜, 陈晓雪, 等. 压力-应变环评估代谢综合征患者早期左室心肌做功[J]. 中华超声影像学杂志, 2022, 31(5): 414-419.
|
| [7] |
中华医学会糖尿病学分会. 中国2型糖尿病防治指南(2020年版)[J]. 中华内分泌代谢杂志, 2021, 37(4): 311-398. doi: 10.3760/cma.j.cn311282-20210304-00142
|
| [8] |
张婷婷, 蓝彩凤, 林瑜芬. 左室压力-应变环评估慢性心力衰竭患者左心室心肌做功的临床研究[J]. 心血管病防治知识: 学术版, 2020, 9(27): 22-24. doi: 10.3969/j.issn.1672-3015(x).2020.27.008
|
| [9] |
王一洒, 袁建军, 朱好辉, 等. 压力-应变环评价2型糖尿病患者左心室心肌做功改变[J]. 中国医学影像学杂志, 2020, 28(12): 934-937. doi: 10.3969/j.issn.1005-5185.2020.12.013
|
| [10] |
何金梅, 尹立雪. 心肌做功技术评价心血管疾病左心室功能的研究进展[J]. 实用医院临床杂志, 2021, 18(3): 188-191. doi: 10.3969/j.issn.1672-6170.2021.03.056
|
| [11] |
崔瑞雪, 陈勇, 杨菲, 等. 左室压力-应变环评价乳腺癌患者化疗后心肌损害的应用研究[J]. 实用临床医药杂志, 2021, 25(1): 10-14. doi: 10.7619/jcmp.20200160
|
| [12] |
赵庆庆, 刘琳, 崔存英, 等. 左室压力-应变环对非梗阻型肥厚型心肌病患者整体心肌做功的定量研究[J]. 中国超声医学杂志, 2020, 36(9): 795-798. doi: 10.3969/j.issn.1002-0101.2020.09.008
|
| [13] |
TOMOAIA R, BEYER R S, ZDRENGHEA D, et al. Global work index by non-invasive pressure-strain loops: a novel parameter to assess left ventricular performance in the early stages of heart failure with preserved or mid-range ejection fraction after acute myocardial infarction[J]. Med Ultrason, 2021, 23(1): 62-69. doi: 10.11152/mu-2672
|
| [14] |
LIU C, FENG Y P, YAN Z N, et al. Value of quantitative analysis of left ventricular systolic function in patients on maintenance hemodialysis based on myocardial work technique[J]. BMC Cardiovasc Disord, 2021, 21(1): 76. doi: 10.1186/s12872-021-01899-6
|
| [15] |
WANG R R, TIAN T, LI S Q, et al. Assessment of left ventricular global myocardial work in patients with different degrees of coronary artery Stenosis by pressure-strain loops analysis[J]. Ultrasound Med Biol, 2021, 47(1): 33-42. doi: 10.1016/j.ultrasmedbio.2020.09.017
|
| [16] |
RIFEI L M, YUANMEI Z M, CHENGKAI Z M, et al. Contrast echocardiography evaluation of microcirculation of myocardial infarction caused by takotsubo syndrome: case report and literature review[J]. Advanced Ultrasound Diagnosis And Therapy, 2021, 5(3): 258. doi: 10.37015/AUDT.2021.210016
|
| [17] |
KE Q Q, XU H B, BAI J, et al. Evaluation of global and regional left ventricular myocardial work by echocardiography in patients with chronic kidney disease[J]. Echocardiography, 2020, 37(11): 1784-1791. doi: 10.1111/echo.14864
|
| [18] |
GALLI E, LECLERCQ C, FOURNET M, et al. Value of myocardial work estimation in the prediction of response to cardiac resynchronization therapy[J]. J Am Soc Echocardiogr, 2018, 31(2): 220-230. doi: 10.1016/j.echo.2017.10.009
|
| [19] |
崔存英, 李欣, 李亚南, 等. 超声心动图左室压力-应变环对冠脉搭桥术患者心肌做功的定量研究[J]. 中华超声影像学杂志, 2019, 28(12): 1025-1030. doi: 10.3760/cma.j.issn.1004-4477.2019.12.003
|
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