|
|
|
| Evaluation of early left ventricular function in patients with diabetes mellitus by three-dimensional speckle tracking technique |
| ZHENG Yingjuan1 WEN Dehui1▲ LIU Weiliang1 SHI Baolin2 GU Jun3 XU Le1 SUN Chenxi1 |
1.Department of Ultrasonography, the First Affiliated Hospital of Hebei North University, Hebei Province, Zhangjiakou 075000, China;
2.Department of Public Health Teaching and Research Office, Hebei North University, Hebei Province, Zhangjiakou 075000, China;
3.Department of Endocrinology, the First Affiliated Hospital of Hebei North University, Hebei Province, Zhangjiakou 075000, China |
|
|
|
Abstract Objective To evaluate left ventricular function in early stage of diabetes mellitus by three-dimensional speckle tracking technique. Methods From January 2017 to April 2018, 83 patients with type 2 diabetes who were outpatient or hospitalized in the First Affiliated Hospital of Hebei North University were selected, including 44 cases of type 2 diabetes (diabetes group), 39 cases of diabetes complicated with hypertension (diabetes complicated with hypertension group), and 40 cases of healthy people in the same period (control group). Conventional echocardiography and three-dimensional speckle tracking technology were used to measure the overall left ventricular strain, including global longitudinal strain (GLS), global circumferential strain (GCS), global area strain (GAS), global radial strain (GRS) and three-dimensional left ventricular ejection fraction (3D-LVEF), and the differences between the three groups were compared. Results The value of conventional echocardiography such as two-dimensional left ventricular ejection fraction(2D-LVEF) in each groups had no significant difference(P ＞ 0.05).Compared with the control group, GLS, GAS, GCS and GRS in the diabetes group were significantly reduced, with highly statistically significant differences (P ＜ 0.01). GLS, GAS, GCS, GRS and 3D-LVEF were significantly reduced in the diabetes complicated with hypertension group, and the differences were highly statistically significant (P ＜ 0.01). Compared with the diabetes group, GLS, GAS, GRS and 3D-LVEF in the diabetes complicated with hypertension group were decreased, and the differences were statistically significant (P ＜ 0.05). Conclusion Three-dimensional spot tracking technology can detect changes in diabetic heart function early when 2D-LVEF is normal in diabetic patients, providing imaging basis for clinical prevention of diabetic heart and cerebrovascular complications.
|
|
|
|
|
|
[1] 白倩，陈琰，石雪，等.2型糖尿病合并微血管病变的临床特征及危险因素[J].临床与病理杂志，2018，38（7）：1493-1498.
[2] 黄强，柯创宏，陈雪松，等.三维斑点追踪技术的临床应用研究进展及前景[J].中国医药指南，2017，15（20）：27-29.
[3] American Diabetes Association. Standards of medical care in diabetes 2014 [J]. Diabetes Care，2014，37（1）：14-80.
[4] 蒋慰，刁红杰，袁姿，等.108例2型糖尿病患者血糖波动与慢性并发症的相关性分析[J].中国血液流变学杂志，2017，27（2）：152-155.
[5] 苏秋杏，曾扬波，张春凤，等.缬沙坦联合氨氯地平对原发性高血压合并糖尿病老年患者的疗效观察[J].现代医院，2016，16（6）：821-823.
[6] 钟达宏，刘子胥，石琼梅.缬沙坦和氨氯地平在社区老年原发高血压合并糖尿病中的应用观察[J].中国医药科学，2016，6（8）：68-70.
[7] 王晓宇，刘艳霞，栗夏莲.2型糖尿病患者心脏结构与功能超声检查结果改变的研究[J].中国糖尿病杂志，2018， 26（5）：385-389.
[8] Bertram S，Brixius K，Brinkmann C. Exercise for the diabetic brain：how physical training may help prevent dementia and Alzheimer’s disease in T2DM patients [J]. Endocrine，2016，53（2）：350-363.
[9] 刘东伟，潘少康，刘章锁.糖尿病肾病的临床危险因素[J].中国实用内科杂志，2017，37（3）：189-191.
[10] 刘旭，王霞，何媛.糖尿病视网膜病变危险因素与预防研究进展[J].眼科新进展，2018，38（7）：687-691.
[11] 刘畅，王英南，王旭泽，等.老年2型糖尿病患者下肢血管病变的危险因素分析[J].中国医药导报，2018，15（24）：51-54.
[12] 中华医学会糖尿病学分会.中国2型糖尿病防治指南（2013年版）[J].中国糖尿病杂志，2014，22（8）：2-42.
[13] 陈钦宏.老年糖尿病患者合并高血压的危险因素及随访研究[J].中国医药科学，2016，6（6）：102-104.
[14] 石杭科，李衡，黄雅莲，等.心理干预配合常规药物治疗老年糖尿病的系统评价[J].成都医学院学报，2016，11（2）：176-181.
[15] 高丽，郑嘉荣，曹艳，等.超声心动图组织多普勒技术对2型糖尿病左心室功能的研究[J].中国超声医学杂志，2018，34（2）：150-152.
[16] 潘娟，张杰文，谢政权，等.中国糖尿病教育模式的研究现状[J].现代医院，2016，16（8）：1205-1207.
[17] 欧阳征鹏，李霞，彭琼辉.胰岛素抵抗及2型糖尿病对原发性高血压患者血压昼夜节律及动脉硬化的影响[J].成都医学院学报，2017，12（6）：723-726.
[18] 邢雨蒙，史静，颜彦，等.二维斑点追踪成像技术评价冠状动脉慢血流患者左室心肌分层应变[J].复旦学报：医学版，2018，45（4）：467-472.
[19] 钟舒文，张玉奇.三维斑点追踪显像评估左心功能的新进展[J].医学影像学杂志，2014，24（4）：607-610.
[20] Mada RO，Duchenne J，Voigt JU. Tissue Doppler，Strain and Strain Rate in ischemic heart disease “How I do it” [J]. Cordiovosc Ultrasound，2014，12（38）：1-9.
[21] 黄晓民，徐琳.三维斑点追踪超声心动图在心功能评估中的应用[J].广东医学，2018，39（18）：2703-2708.
[22] Sun YJ，Wang F，Zhang RS，et al. Incremental value of resting three-dimensional speckle-tracking echocardiography in detecting coronary artery disease [J]. Exp Ther Med，2015，9（6）：2043-2046.
[23] 柏刚，苟常龙，张忠磊，等.三维纵向应变成像对高危冠状动脉粥样硬化性心脏病的预测价值[J].临床超声医学杂志，2016，18（11）：730-733.
[24] 姚丙南，仇萍，王玉芳，等.分层应变技术对高血压前期患者左心室纵向收缩功能的评价[J].中国心血管杂志，2017，22（6）：418-422
[25] 冯雪虹.三维斑点追踪成像技术对急性前壁心肌梗死患者左心室收缩功能评价效果[J].心血管康复医学杂志，2017，26（2）：206-209.
[26] 陈敏，李秀娟，孙月，等.三维斑点追踪收缩期峰值面积应变评估冠状动脉粥样硬化性心脏病左室收缩功能[J].临床超声医学杂志，2018，20（8）：513-517. |
|
|
|
