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雑誌文献

循環器ジャーナル72巻2号

2024年04月発行

文献概要

特集 心エコー 何をどこまで評価できるか? Ⅰ. 心機能を心エコーで評価する

心エコーでどこまで左室拡張機能と左房圧を評価できるのか?

著者: 岩野弘幸1

所属機関: 1手稲渓仁会病院循環器内科

ページ範囲:P.175 - P.182

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POINT
・左室弛緩能やコンプライアンスの低下の結果,左房圧の上昇が起こる.
・心エコー法では,血流指標,壁動態指標を組み合わせて左室拡張機能評価を行う.
・個々の心エコー指標の精度は必ずしも高くない.
・運動負荷心エコー検査により,運動時の左房圧上昇を診断する.

参考文献

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8)Murayama M, Iwano H, Nishino H, et al. Simple two-dimensional echocardiographic scoring system for the estimation of left ventricular filling pressure. J Am Soc Echocardiogr 2021 ; 34 : 723-34
9)Tamaki Y, Iwano H, Murayama M, et al. Application of an echocardiographic scoring system of left ventricular filling pressure to diagnose acute heart failure in patients complaining dyspnea. J Cardiol 2023 ; 82 : 62-8.
10)Smiseth OA, Morris DA, Cardim N, et al. Multimodality imaging in patients with heart failure and preserved ejection fraction : An expert consensus document of the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging 2022 ; 23 : e34-e61.
11)Abudiab MM, Chebrolu LH, Schutt RC, et al. Doppler echocardiography for the estimation of LV filling pressure in patients with mitral annular calcification. JACC Cardiovasc Imaging 2017 ; 10 : 1411-20.

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:2432-3292

印刷版ISSN:2432-3284

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