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Vojnosanitetski pregled
2019, vol. 76, br. 8, str. 779-786
jezik rada: engleski
vrsta rada: izvorni naučni članak
doi:10.2298/VSP170716162P

Creative Commons License 4.0
Ejekciona frakcija leve srčane komore i miokardna deformacija dobijene trodimenzionalnom ehokardiogrfijom povezane su sa funkcionalnim kapacitetom bolesnika sa srčanom insuficijencijom
aUniverzitet u Beogradu, Medicinski fakultet, Institut za kardiovaskularne bolesti 'Dedinje'
bUniversity Clinical Hospital Center "Dr. Dragiša Mišović - Dedinje", Department of Cardiology, Belgrade + University of Belgrade, Faculty of Medicine, Belgrade

e-adresa: milena.kleut@sbb.rs

Sažetak

Uvod/Cilj. Ehokardiografija predstavlja jedan od najčešće izvođenih neinvazivnih testova analize bolesnika sa srčanom insuficijencijom. Cilj ove studije bio je da se utvrdi odnos između parametara funkcionalnog kapaciteta [maksimalna potrošnja kiseonika (VO2), ventilatorni ekvivalent za ugljendioksid (VE/VCO2)] i trodimenzionalne ehokardiografije (3D-STE) leve komore kod bolesnika sa srčanom insuficijencijom i smanjenom ejekcionom frakcijom leve srčane komore (LVEF). Metode. Ova studija preseka obuhvatila je 80 bolesnika sa dijagnostikovanom sistolnom disfunkcijom leve srčane komore ishemijske etiologije (LVEF < 45%) podeljene u podgrupe na osnovu predloženih vrednosti analiziranih parametara funkcionalnog kapaciteta: VO2 ≤ 15 mL/kg/min, VO2 > 15 mL/kg/min, VE/VCO2 < 36 i VE/VCO2 nagib ≥ 36. Svi bolesnici podvrgnuti su fizičkom pregledu, laboratorijskom testiranju, 2DE i 3DE, kao i ispitivanju funkcionalnog kapaciteta. Rezultati. Vrednosti LVEF, longitudinalne, cirumferentne, radijalne i površinske miokardne deformacije bile su značajno niže u podgrupama bolesnika sa vrednostima VO2 ≤ 15 mL O2/kg po min i VE/VCO2 ≥ 36 u odnosu na bolesnike podgrupa sa VO2 > 15 mL O2/kg po min i VE/VCO2 < 36. Uočena je značajna pozitivna korelacija između izmerenih vrednosti VO2 i parametara 3DE, te značajna negativna korelacija između izmerenih vrednosti VE/VCO2 i parametara 3DE. Zaključak. Dobijeni rezultati potvrđuju da se funkcija leve komore može neinvazivno i objektivno proceniti primenom 3DE. Uočena značajna korelacija između između ispitivanih parametara ukazuje na to da su LVEF i miokardna deformacija dobijeni 3DE povezani sa funkcionalnim kapacitetom bolesnika sa srčanom insuficijencijom.

Ključne reči

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