二维斑点追踪成像技术在诊断新生儿窒息心肌损害中的应用及其与血清肌钙蛋白的相关性分析

doi:10.3969/j.issn.1006-6233.2018.05.047

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Abstract Objective: To explore the value of two-dimensional speckle tracking imaging (2D-STI) in early evaluation on myocardial injury of neonatal asphyxia. Methods: 70 cases of healthy neonatal (control group) and 70 cases of asphyxia neonates (research group) were studied. The cardiac function was valued by the color Doppler ultrasonography, and the serum troponin levels were measured by the automated chemiluminescence analyzer. Results: There were a positive correlation between total left ventricular systolic global longitudinal strain (LV GLS) and left ventricular output (LVO) (p <0.01), and a negative correlation between LV GLS and serum troponin (cTnI) in the research group (p <0.01). Conclusion: 2D-STI can quantitatively evaluate the myocardial injury and thus can be used to assess the cardiac function of neonatal asphyxia.

Key words： Two-dimensional speckle tracking imaging Neonatal asphyxia Myocardial injury Cardiac function

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	Articles by authors
	LI Lizhen
	CHEN Chengcai
	LIANG Yanling
	et al

Cite this article:

LI Lizhen,CHEN Chengcai,LIANG Yanling, et al. Application of Two-dimensional Speckle Tracking Imaging in the Diagnosis of Neonatal Asphyxia Myocardial Damage and its Correlation with Serum Troponin[J]. HeBei Med, 2018, 24(5): 876-880.

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http://www.hbyxzzs.cn/EN/10.3969/j.issn.1006-6233.2018.05.047 OR http://www.hbyxzzs.cn/EN/Y2018/V24/I5/876

[1] 安彩霞,毛庆花,林丽星,等.新生儿窒息后心肌损害的诊疗进展[J].中国优生优育,2013,19(1):50~55.
[2] Nestaas E,Stylen A,Brunvand L,et al.Longitudinal strain and strain rate by tissue doppler are more sensitive indices than fractional shortening for assessing the reduced myocardial function in asphyxiated neonates.[J].Cardiology in the Young,2011,21(1):1~7.
[3] 许亚红,郭特鎏,赵咏梅,等.窒息新生儿血清CK-MB及cTnI检测的临床意义[J].西南国防医药,2014,4(6):644~645.
[4] 吕辉洋.斑点追踪显像对妊娠高血压综合征新生儿左心室功能的评价[D].新疆医科大学,2016.
[5] Ende J V D,Antona C A V,Orellana J E,et al.Left ventricular longitudinal strain measured by speckle tracking as a predictor of the decrease in left ventricular deformation in children with congenital stenosis of the aorta or coarctation of the aorta[J].Ultrasound in Medicine&Biology,2013,39(7):1207.
[6] 中国医师协会新生儿专业委员会.新生儿窒息诊断和分度标准建议[J].中国当代儿科杂志,2013,15(1):1.
[7] Lang R M, Badano L P, Moravi V, et al. Recommendations for cardiac chamber quantification by echocardiography in adults: an update from the american society of echocardiography and the european association of cardiovascular imaging[J]. European Heart Journal Cardiovascular Imaging, 2015,28(1):1~39.
[8] Guerra F, Marchesini M, Contadini D, et al. Speckle-tracking global longitudinal strain as an early predictor of cardiotoxicity in breast carcinoma[J]. Supportive Care in Cancer, 2016,24(7):3139~3145.
[9] Ahmed F Z, Motwani M, Cunnington C, et al. One-month global longitudinal strain identifies patients who will develop pacing-induced left ventricular dysfunction over time: the pacing and ventricular dysfunction (PAVD) study[J]. Plos One, 2017,12(1):e162072.
[10] Marwick T H, Case C, Sawada S, et al. Use of stress echocardiography to predict mortality in patients with diabetes and known or suspected coronary artery disease[J]. Diabetes Care, 2002,25(6):1042~1048.
[11] Belghitia H, Brette S, Lafitte S, et al. Automated function imaging: a new operator-independent strain method for assessing left ventricular function[J]. Archives of Cardiovascular Diseases, 2008,101(3):163~169.
[12] El-Khuffash A F, Jain A, Dragulescu A, et al. Acute changes in myocardial systolic function in preterm infants undergoing patent ductus arteriosus ligation: a tissue doppler and myocardial deformation study[J]. 2012,25(10):1058~1067.