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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: 6083| 评论: 0|原作者: admin|来自: 心脏中心


Left ventricular ejection fraction (biplane volumes)=
[(end-diastolic - end-systolic) / end-diastolic] x 100 (%)


Ejection Fraction(EF). The left ventricle is a chamber which relaxes to fill with blood and then contracts to pump the blood out. Even in a healthy heart, the left ventricle does not pump all of the blood out with each beat. The ejection fraction is defined by the following formula:  左心在舒张时容纳大量血液,然后再收缩时将这些血液博出。即使正常的心脏,左室也不可能在每次搏动时将其内的血液完全博出。射血分数(EF)的定义公式如下:



The ejection fraction is a useful measure of left ventricular performance. The normal range is 63-77% for males and 55-75% for females (reference: Measurements in Cardiology). If the left ventricle wall is thinned, a decrease in the ejection fraction is seen. EF是检测左室功能的一个常用指标。EF的正常值对于男性在63%~77%之间,女性在55%~75%之间。如果左室壁变薄,EF可能会继而降低。







2D examination of the left ventricle

Normal systolic function and segmental wall kinesis. 

Left panel: apical 4-chamber view. Clockwise: interventricular septum, apex and antero-lateral wall. 
Right panel: apical 2-chamber view. Clockwise: infero-posterior wall, apex and anterior wall.

Normal values.

Note consistent (normal) systolic descent of the cardiac base (i.e., mitral anulus) towards the apex of the left ventricle (> 1 cm).  

Left ventricular dilatation and systolic dysfunction (biplane ejection fraction= 22.2 %).  

Compare with normal findings above. 

Extensive segmental wall motion abnormalities. The apex is dilated and akinetic. The interventricular septum, infero-posterior wall and distal anterior wall are akinetic. 

Note also reduced systolic descent of the cardiac base (i.e., mitral anulus) towards the apex of the left ventricle (< 0.8 cm)


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