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二维斑点追踪技术评价高血压兔模型的左心室收缩期应变

  • 摘要: 目的:应用二维斑点追踪技术评价高血压兔模型的左心室纵向、圆周及径向收缩期应变,探讨心率对左心室收缩功能指标的影响。方法:24只新西兰兔随机均分为2组:腹主动脉缩窄组(n=12)和假手术组(n=12)。腹主动脉缩窄组进行腹主动脉缩窄手术;假手术组仅将丝线放置于腹主动脉下方,不进行腹主动脉结扎。术后8周采用二维斑点追踪技术分析各组兔左心室纵向、圆周及径向应变。结果:与假手术组相比,腹主动脉缩窄组兔模型左心房舒张末内径、左心室内径均增大(P<0.05),室间隔及左心室壁均明显增厚(P<0.05);在应变方面,腹主动脉缩窄组兔模型左心室收缩期纵向应变降低(P<0.05)、径向应变降低(P<0.05)、圆周应变不变。结论:在快心率的高血压兔模型中,左心室纵向应变及径向应变易受到影响,说明心率对斑点追踪技术测得的收缩功能指标影响不大。

     

    Abstract: Objective:To explore the effects of heart rate on two-dimensional speckle tracking imaging (2D-STI) parameters in evaluating left ventricular longitudinal, circumferential and radial systolic myocardial deformation in hypertensive rabbit models. Methods:24 New Zealand rabbits were randomly divided into 2 groups: the abdominal aortic constriction (AAC) group (n=12), and the sham operation group (n=12). The ACC group underwent the abdominal aortic constriction surgery while in the sham operation group, only the silk thread was placed below the abdominal aorta, and the abdominal aorta was not ligated. The longitudinal, circumferential and radial strains were analyzed by 2D-STI technique after 8 weeks of surgery.Results:Compared with the sham operation group, hypertensive rabbits had an increased left atrial internal dimension and increased left ventricular internal dimension (P<0.05), a thickened interventricular septum and left ventricular wall (P<0.05). In terms of strain, the longitudinal systolic strain of the left ventricle decreased (P< 0.05), the radial strain decreased (P<0.05), and the circumferential strain remained unchanged in the rabbit models of abdominal aortic constriction.Conclusions:In hypertensive rabbit models, the left ventricular longitudinal and radial strains were easily affected, which illustrated that heart rate had little effect on the systolic function parameters measured by 2D-STI.

     

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