Abstract：Objective: To explore the mechanical synchrony of patients with urinary cardiomyopathy and the clinical value of left ventricular function by means of 3DE evaluation. Methods: 60 patients with uremia who had not received dialysis in August 2016 -2017 in our hospital in August were selected. A total of 40 outpatients were randomly collected. The latest Siemens Acuson SC2000 ultrasonic diagnostic apparatus was used for image analysis. The left ventricular ejection fraction (LVEF) and left ventricular end-systolic volume (LVESV) and left ventricular end-diastolic volume (LVEDV) were compared, and the synchrony and left ventricular short-axis tangential strain rates were compared. Results: HR, LVEDV and LVESV in uremia myocardial damage group (UMD) were higher than those in healthy group (P<0.05), and LVEF was lower than that in healthy group (P<0.05). There were significant differences in SDI-16, SDI-17, DDI-16 and DDI-17 between the two groups. The UMD group was higher than the control group (P<0.05). The basal, middle and apical strain rates in UMD group were lower than those in control group (P<0.05). Left ventricular systolic function was negatively correlated with contraction asynchrony index in UMD group (r=-0.751, P<0.01). Conclusion: For UMD patients, the synchrony of left ventricular contraction and the synchrony of diastole are relatively poor. Real-time three-dimensional echocardiography (RT-3DE) is a fast, simple and new method for evaluating left ventricular function and synchronization in UMD patients.
文童, 周婧, 党照华. 实时三维超声心动图在诊断尿毒症性心肌病左心室功能及同步性的应用价值[J]. 河北医学, 2019, 25(6): 976-978.
WEN Tong, ZHOU Wei, DANG Zhaohua. Application Value of Real-time Three-dimensional Echocardiography in Diagnosis of Left Ventricular Function and Synchrony in Uremic Cardiomyopathy. HeBei Med, 2019, 25(6): 976-978.
2019, Vol. 25 
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