|
|
|
| Study on Detection Effect of Left Ventricular Torsion in patients with Type 2 Diabetes Mellitus by two Dimensional Strain Imaging |
| KONG Xuejun, NI Jun, DAI Yujie, et al |
| The 371th Hospital of PLA, Henan Xinxiang 453000, China |
|
|
|
|
Abstract Objective: To study the clinical significance of detection of left ventricular torsion in patients with type 2 diabetes mellitus by two dimensional strain technique. Methods: 75 patients with T2DM in our hospital from March 2015 to September 2016 were selected, they were divided into simple diabetic group with 39 cases (group A) and diabetic complications group with 36 cases (group B) according to whether carrying vascular complications in clinical. In addition,35 healthy persons were selected as group C. The conventional echocardiographic parameters of subjects in three groups were measured, then two-dimensional high-frequent dynamic images were collected, and the peak value of left ventricular short axis base, apical systolic rotation angle (Rot-base, Rot-apex) and left ventricular systolic torsion angle (LV-tor) were obtained using two-dimensional strain software. Results: There was no significant difference in gender, age, heart rate, height and LVEF between the three groups (P>0.05), E/A in group B was lower than that in group A and group C (P<0.05). Rot-base, Rot-apex and LV-tor in group A were higher than those in group C (P<0.05), Rot-base, Rot-apex and LV-tor in group B were lower than those in group A and group C (P<0.05). Conclusion: When the left ventricular systolic function is normal in patients with diabetes mellitus, the left ventricular short axis torsional motion is abnormal. Left ventricular myocardial torsion angle in patients with diabetes mellitus can be exactly detected by two dimensional strain technique, and it can be used to assess whether the left ventricular function is impaired.
|
|
|
|
|
|
[1] 张军,冯晓军.二维斑点追踪显像技术对成人左心室扭转运动的研究现状[J].中国临床医学,2011,18(3):402~404.
[2] 王梦宜,陈国珍.超声评价左室扭转运动研究进展[J].医学影像学杂志,2016,26(6):1111~1114.
[3] 美国糖尿病协会,张琳.2010年ADA糖尿病诊疗指南[J].糖尿病天地·临床(下旬),2010,4(2):56~65.
[4] 赵晟,王玲.心脏左室扭转理论的临床研究与应用[J].安徽医学,2012,33(3):368~370.
[5] Gkdeniz T,Kalaycolu E,Aykan A,et al.Effects of non-dipper blood pressure pattern on left ventricular rotational mechanics in hypertensive patients with type 2 diabetes mellitus: a speckle tracking study[J].Int Cardiovasc Imaging,2014,30(1):57~65.
[6] 柯茜茜,黎春雷,王晨阳,等.二维斑点追踪技术评价慢性肾病患者左心室扭转运动[J].中华医学超声杂志(电子版),2015,(12):929~933.
[7] 王远征,礼广森,孙艳红,等.超声二维应变成像评价心肌酒精性损害后左室的旋转和扭转运动[J].临床超声医学杂志,2014,16(8):530~533.
[8] 蔡欢,何玉秀.运动对PPARs及糖尿病心肌病糖代谢和脂肪代谢紊乱的影响[J].中国运动医学杂志,2016,35(11):1056~1060.
[9] 谢丹,那雪.糖尿病心脏病合并心功能不全的超声分析[J].糖尿病新世界,2015,18(8):116.
[10] 朱培华,黄敬垣,叶萌,等.超声二维斑点追踪显像技术评价2型糖尿病患者左心室心肌扭转运动及其与C肽水平的关系[J].中国全科医学,2014,17(18):2156~2159.
[11] 王玲,潘小风,储全根.糖尿病心肌病发病机制的研究进展[J].山西中医学院学报,2016,17(4):72~77.
[12] 孔学军,倪军,代玉洁,等.超声二维斑点追踪显像技术评价2型糖尿病患者左心室心肌扭转运动[J].中国老年学杂志,2017,37(2):342~344 |
| [1] |
. [J]. 河北医学, 2017, 23(9): 1522-1524. |
|
|
|
|
2017, Vol. 23 
