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左心系统功能的超声评估

2010-8-17 00:15| 发布者: 陆医生| 查看: 6084| 评论: 0|原作者: admin|来自: 心脏中心


Left ventricular short axis fractional shortening
FFS= [(end-diastolic - end-systolic) / end-diastolic] x 100 (%)

  • Shortening Fraction (FS). The shortening fraction is a slightly different way of measuring left ventricle performance. Instead of measuring and ratio-ing blood volumes, the shortening fraction measures and ratios the change in the diameter of the left ventricle between the contracted and relaxed states:  与EF测定心脏的博出容量不同,FS主要是测量收缩和舒张状态下的左室壁直径变化率。

  • The normal range is 0.18-0.42, or 18-42% (reference: Measurements in Cardiology). According to the Oeffinger/Keene article, " . . . above 30% is considered normal, with 26 to 30% representing a mild decrease in function. . . . A decrease in the shortening fraction usually precedes a detectable decrease in the ejection fraction."  FS的正常范围在0.18~0.42(或者18%~42%)。Oeffinger和Keene的文章中提到“......FS30%以上是正常的,26%到30%代表心功能轻微的降低......如果FS下降的话,一般都可以同时检测到EF的下降。”

M-Mode examination of the left ventricle

Normal values 
Left panel
: normal LV
Right panel: dilated LV with reduced systolic function. Fractional shortening is 21 %. Note hypokinesis of the interventricular septum.  

Note increased mitral E-septum separation on the right, as compared to the normal LV.  

IVS
: interventricular septum
LV: left ventricular cavity
Phono: phonocardiographic tracing
PLW: postero-lateral wall
RV: right ventricular cavity


Measurement units: cm
Normal values: 
PWT= 43 - 61 %
IVS= 34 - 50 % 

Measurement of end-diastolic (red arrows synchronous with Q wave of ECG) and end-systolic (at maximum systolic wall thickness) left ventricular wall thickness.



Left ventricular wall thickening 
PWT= [(end-systolic - end-diastolic) / end-diastolic] x 100 (%)




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