临床局部超声心动图证据的敏感性和特异性：心室相互依存和脉冲悖论的影响

Pediatric Cardiologyvolume28,页面358–362(2007)Cite this article

抽象

报告的超声心动图发现右心房崩溃的敏感性诊断局部局部崩溃范围为50％至100％;特异性范围从33％到100％。其在鉴定右心室塌陷的敏感度范围为48％至100％，而特异性范围为72％至100％。右心房或右心室的崩溃是不可靠的，除非在坦克德的风险高，与贝叶斯定理一致。如果患者具有低血压，心动过速，呼吸困难，静脉压力增加和心包积液，则可能会持续暗示局部局部的诊断。为了解释Pulsus悖论，大多数超声心动图报告都调用了Dornhorst的理论，即右心室的吸气填充通过成功竞争固定的总包装空间（“心室相互依赖”）积极沉淀左心室。然而，心包空间是not修复了坦帕诗歌，但随着灵感增加，右心比左侧更容易崩溃，鉴于它们的相对厚度。脉冲悖论取决于右心的吸气浪涌，夸大了由填写局部局部诱导的脑室的小卒中体积，肺动脉和全身床之间的血管耦合，其中一个到两个心跳的过境时间。

This is a preview of subscription content,log into check access.

访问选项

买单一文章

即时访问全文PDF。

US$ 39.95

税收计算将在结账时最终确定。

参考资料

  1. 1.

    Aebischer N, Malhotra R, Connors L, Kappenberger L, Parisi AF (1995) Ventricular interdependence during Valsalva maneuver as seen in two-dimensional echocardiography; new insights about an old method J Am Soc Echocardiogr 8:536–542

    文章CASPubMedGoogle Scholar

  2. 2.

    Appleton CP，Hatle LK，Popp RL（1988）心脏铺位和心包积液：多普勒超声心动图JAM Coll Cardiol 11：1020-1030研究了经瓣膜速率呼吸变异

    CASPubMed文章Google Scholar

  3. 3.

    展位DC，Wisenbaygh T，Smith M，Demaria AN（1988）心房间隔缺损JA am​​ Coll Cardiol 12:1231-1236中的左心室缺陷和被动弹性僵硬

    CASPubMed文章Google Scholar

  4. 4.

    Burstow Dj，俄亥俄州，贝利克，Seward JB，Tajik AJ（1989）心脏铺位;特色多普勒观测Mayo Clin Proc 64：312-324

    CASPubMedGoogle Scholar

  5. 5.

    COHN JN，Pinkerson Al，Tristan Fe（1967）临床冲击中的脉冲悖论J Clin Invest 46：1744-1755

    CASPubMedGoogle Scholar

  6. 6.

    Ditchey R，Engler R，Lewinter M等人。（1981）右心在急性心脏铺位局，循环res 48：701-710中的作用

    CASPubMedGoogle Scholar

  7. 7.

    Dornhorst AC, Howard P, Leathhart GL (1952) Pulsus Paradoxus, Lancet 1:746–748

    文章CASPubMedGoogle Scholar

  8. 8.

    Edler L (1955) The diagnostic use of ultrasound in heart disease Acta Med Scand 308(Supp):32–36

    Google Scholar

  9. 9.

    Eisenburg MJ, Schiller NB (1991) Bayes’ theorem and the echocardiographic diagnosis of cardiac tamponade, Am J Cardiol 68:1242–1244

    文章Google Scholar

  10. 10。

    Eisenberg MJ, Oken K, Guerrero S, Saniei MA, Schiller NB (1992) Prognostic value of echocardiography in hospitalized patients with pericardial effusion Am J Cardiol 70:934–939

    文章CASPubMedGoogle Scholar

  11. 11.

    Fast J, Wielenga RP, Jansen E, Stekhoven JHS (1986) Abnormal wall movements of the right ventricle and both atria in patients with pericardial effusion as indicators of cardiac tamponade Eur Heart J 7:431–436

    CASPubMedGoogle Scholar

  12. 12.

    Feigenbaum H, Waldhausen JA, Hyde LP (1965) Ultrasound diagnosis of pericardial effusion JAMA 191:107–110

    Google Scholar

  13. 13.

    Fowler No（1993）心脏铺位：临床或超声心动图诊断？流通87：1738-1741

    CASPubMedGoogle Scholar

  14. 14.

    Gillam Ld，Guyer de，Gibson TC等。（1983）右心房的流体动力学压缩：心脏铺位的新的eacocardIgraphic标志。流通68：294-301

    CASPubMedGoogle Scholar

  15. 15.

    Guntheroth WG, Gould R, Butler J, Kinnen E (1974) Pulsatile flow in pulmonary artery, capillary, and vein in the dog Cardiovasc Res 8:330–337

    CASPubMedGoogle Scholar

  16. 16.

    Guntheroth WG , Jacky JP (1980) The effects of respiration on venous return and pleura and pericardial pressure In: Reddy RS, Leon DF, Shaver JA (Eds.) Pericardial disease. Raven Press, New York pp 137–147

    Google Scholar

  17. 17.

    Guntheroth WG, Morgan BC, Mullins GL (1967) Effect of respiration on venous return and stroke volume in cardiac tamponade Circulation Res 20:381–390

    CASPubMedGoogle Scholar

  18. 18.

    Guyton AC (1963) Cardiac output and its regulation W.B. Saunders, Philadelphia p 184

    Google Scholar

  19. 19.

    汉密尔顿WF，伍德伯里RA，HARPER HT（1936）抗内滑动，管腔和动脉压力之间的生理关系JAMA 107：853-861

    Google Scholar

  20. 20。

    Himelman RB, Kircher B, Rockey DC, Schiller NB (1988) Inferior vena cava plethora with blunted respiratory response: a sensitive echocardiographic sign of cardiac tamponade J Am Coll Cardiol 12:1470–1477

    CASPubMed文章Google Scholar

  21. 21。

    Hoit BD, Gabel M, Fowler NO (1990) Cardiac tamponade in left ventricular dysfunction Circulation 82:1370–1376

    CASPubMedGoogle Scholar

  22. 22。

    Kronzon I，Cohen ML，Winer He（1983）舒张心房压缩;心脏夯实JAM Coll Cardiol的敏感超声心动图标志2：770-775

    CASPubMed文章Google Scholar

  23. 23.

    Kussmaul (1873) Uberber schwielige Mediastino-Pericarditis und den paradoxen Puls, Klin Wchnschr 10:443–461

    Google Scholar

  24. 24.

    Lange RL，Tsagaris TJ（1964）时间的因素造成夸张的呼吸变异动脉血压J Lab Clin Med 63：431-444

    CASPubMedGoogle Scholar

  25. 25.

    Leeman De，Levine MJ，来PC（1988）PC（1988）心脏铺位的多普勒超声心动图：夸张的呼吸血流速度积分J AM Coll Cardiol 11：572-578

    CASPubMed文章Google Scholar

  26. 26.

    Mahmud E，Raisinghani A，Hassankhani A等。（2002）左心室舒张灌浆特性与右心室过载和肺动脉压在慢性血栓栓塞肺动脉高压JAM Coll Cardiol 40：318-324中的相关性

    文章PubMedGoogle Scholar

  27. 27.

    Martin RP，Rakowski H，法国J，Popp RL（1978）Pinardial积分定位与广角相控阵超声心动图am J Cardiol 42：904-911

    文章CASPubMedGoogle Scholar

  28. 28.

    Materazzo C, Piotti P, Meazza R, Pellegini MP, Biazi S (2003) Respiratory changes in transvalvular flow velocities versus two-dimensional echocardiographic findings in the diagnosis of cardiac tamponade Ital Heart J 4:186–192

    PubMedGoogle Scholar

  29. 29.

    Miller SW, Feldman L, Palacios I et al. (1982) Compression of the superior vena cava and right atrium in cardiac tamponade Am J Cardiol 50:1287–1292

    文章CASPubMedGoogle Scholar

  30. 30.

    Morgan BC, Abel FL, Mullins GL, Guntheroth WG (1966) Flow patterns in the cavae, pulmonary artery, pulmonary vein and aorta in intact dogs Am J Physiol 210:903–909

    CASPubMedGoogle Scholar

  31. 31。

    Morgan BC，Guntheroth WG，Dillard DH（1965）在安静的呼吸和心脏铺扎循环中的心包与胸膜压力的关系循环Res 41：493-498

    Google Scholar

  32. 32。

    Morgan BC，Guntheroth WG，Dillard DH（1966）血量对心脏夯的静脉压力J Thorac Cardiovasc Surg 51：575-578

    CASPubMedGoogle Scholar

  33. 33。

    Morgan BC，Martin We，Hornbein TF，Crawford EW，Guntheroth WG（1966）间歇性阳性压力呼吸麻醉学的血液动力学效应27：584-590

    文章CASPubMedGoogle Scholar

  34. 34。

    Rabkin S, Berhause DG, Bauer HF (1974) Mechanical properties of the isolated canine pericardium J Appl Physiol 36:69–73

    CASPubMedGoogle Scholar

  35. 35.

    Reddy PS，Curtiss EI，O'Toole JD，剃须刀JA（1978）心脏铺位：人类血液动力学观测循环58：265-272

    CASPubMedGoogle Scholar

  36. 36.

    Rifkin RD, Pandian NG, Funai JT et al. (1987) Sensitivity of right atrial collapse and right ventricular diastolic collapse in the diagnosis of graded cardiac tamponade, Am J Noninvas Cardiol 1:73–80

    Google Scholar

  37. 37.

    Santamore WP, Li KS, Nakamoto T, Johnston WE (1990) Effects of increased pericardial pressure on the coupling between the ventricle Cardiovasc Res 24:768–776

    CASPubMedGoogle Scholar

  38. 38.

    Santamore WP，Shaffer T，Papa L（1990）心室相互依存的理论模型：心包效应AM j Physiol 259：H181-H189

    CASPubMedGoogle Scholar

  39. 39.

    Schiller NB, Botvinick EH (1977) Right ventricular compression as a sign of cardiac tamponade Circulation 56:774–779

    CASPubMedGoogle Scholar

  40. 40。

    Schwartz SL, Panadian NG, Cao QL et al. (1993) Left ventricular diastolic collapse in regional left heart cardiac tamponade: an experimental echocardiographic and hemodynamic study J Am Coll Cardiol 22:907–913

    CASPubMed文章Google Scholar

  41. 41。

    Shabetai R（1983）改变概念铺纳蒙德·莫德概念Cardiovasc Diss 52：19-23

    CASGoogle Scholar

  42. 42。

    Shabetai R，FoWler No，Fenton Jc，Masangkay M（1965）Pulsus Paradoxus J Clin Invest 44：1882-1898

    CASPubMed文章Google Scholar

  43. 43。

    Shabetai R, Fowler NO, Guntheroth WG (1970) The hemodynamics of cardiac tamponade and consctrictive percarditis Am J Cardiol 26:480–489

    文章CASPubMedGoogle Scholar

  44. 44。

    Shaver Ja，Reddy PS，Curtiss EI，Ziady Gm，Reddy SC（2000）非侵入性/侵入性/侵入性/侵入性/侵入性/侵入性/侵入性/侵入性/侵袭性/侵入性/侵入性/侵入性/侵袭性/侵袭性/侵袭性/侵入性/侵袭性与心脏夯实J心脏37心脏37（SOMP）的夸张性心室相互依存性的无创/侵入性

    Google Scholar

  45. 45。

    Starling EH（1897）Arris和Gale讲座在心脏病血管病理学病理学中的某些点讲座1：652-655

    文章Google Scholar

Download references

Author information

隶属关系

  1. 儿科（心脏病学），华盛顿大学医学院，盒子356320，西雅图，WA，98185，美国

    W.G.Guntheroth.

Authors
  1. W.G.Guntheroth.
    View author publications

    您还可以搜索此作者PubMedGoogle Scholar

通讯作者

对应于W.G.Guntheroth..

Rights and permissions

重印和权限

About this article

Cite this article

枪削，W.临床道德超声心动图的敏感性和特异性：用于心室相互依存和脉冲悖论的影响。Pediatr Cardiol28,358–362 (2007). https://doi.org/10.1007/s00246-005-0807-9

下载引用

Keywords

  • Echocardiography
  • Pulsus paradoxus.
  • 铺扎
  • Ventricular collapse
  • Ventricular interdependence