超声评估系统性红斑狼疮患者左心室功能的研究进展
Research Progress of Left Ventricular Function in Patients with Systemic Lupus Er-ythematosus Evaluated by Ultrasound
DOI: 10.12677/ACM.2023.132305, PDF,    国家自然科学基金支持
作者: 王晓璇*, 王志刚, 李世玉#：重庆医科大学附属第二医院超声科超声分子影像重庆市重点实验室，重庆
关键词: 系统性红斑狼疮；左心室功能；超声检查；综述；Systemic Lupus Erythematosus； Left Ventricular Function； Ultrasonic Examination； Overview
摘要: 系统性红斑狼疮(SLE)是一种多系统性自身免疫疾病，病因复杂，心血管系统受累常见。但由于该病临床体征及心脏损害超声表现无特异性，临床评估患者心脏早期损害具有挑战性。超声检查具有实时、动态、便捷等优点，是临床评估心功能最常用的技术，其中最重要参数便是左心室功能。本文对不同超声技术评估SLE患者左心室功能的研究进展进行综述。
Abstract: Systemic lupus erythematosus (SLE) is a multisystem autoimmune disease with complex etiology and common cardiovascular system involvement. However, due to the nonspecific clinical signs and ultrasonic manifestations of cardiac damage, it is challenging to evaluate the patients’ early cardiac damage. Ultrasonography has the advantages of real-time, dynamic and convenient. It is the most commonly used technology for clinical evaluation of cardiac function, and the most important pa-rameter is left ventricular function. This article reviews the research progress of different ultra-sound techniques in evaluating left ventricular function in SLE patients.
文章引用：王晓璇, 王志刚, 李世玉. 超声评估系统性红斑狼疮患者左心室功能的研究进展[J]. 临床医学进展, 2023, 13(2): 2176-2181. https://doi.org/10.12677/ACM.2023.132305

参考文献

[1] 中华医学会风湿病学分会, 国家皮肤与免疫疾病临床医学研究中心, 中国系统性红斑狼疮研究协作组. 2020中国系统性红斑狼疮诊疗指南[J]. 中华内科杂志, 2020, 59(3): 172-185.
[2] 姜楠, 白炜, 赵久良, 张上珠, 吴婵媛, 王立, 赵丽丹, 李菁, 胡朝军, 王迁, 徐东, 冷晓梅, 张文, 李梦涛, 田新平, 曾小峰. 系统性红斑狼疮的诊治方向与研究前沿[J]. 中国科学: 生命科学, 2021, 51(8): 887-900.
[3] Sallam, T. (2021) Cardiovascular Outcomes in Systemic Lupus Erythematosus: Are We Dropping the Anchor or Dropping the Ball? Journal of the American College of Cardiology, 77, 1728-1730. [Google Scholar] [CrossRef] [PubMed]
[4] 郭雪婷. 多模态超声心动图评价系统性红斑狼疮患者心脏功能的研究[D]: [硕士学位论文]. 石河子: 石河子大学, 2020.
[5] Tamerm, S. (2021) Cardiovascular Outcomes in Sys-temic Lupus Erythematosus: Are We Dropping the Anchor or Dropping the Ball? Journal of the American College of Cardiology, 77, 1728-1730. [Google Scholar] [CrossRef] [PubMed]
[6] Gupta, S., Jesrani, G., Gaba, S., Gupta, M. and Kumar, S. (2020) Constrictive Pericarditis as an Initial Manifestation of Systemic Lupus Erythematosus. Cureus, 12, e11256.
[7] Chourabi, C., Mahfoudhi, H., Sayhi, S., Dhahri, R., Taamallah, K., Chenik, S., et al. (2020) Cardiac Tamponade: An Uncommon Presenting Feature of Systemic Lupus Erythematosus (A Case-Based Review). The Pan Af-rican Medical Journal, 36, Article 368. [Google Scholar] [CrossRef] [PubMed]
[8] Pieta, A., Pelechas, E., Gerolymatou, N., Voulgari, P.V. and Drosos, A.A. (2020) Calcified Constrictive Pericarditis Resulting in Tamponade in a Patient with Systemic Lupus Erythematosus. Rheumatology International, 41, 651-670.
[9] Dein, E., Douglas, H., Petri, M., et al. (2019) Pericarditis in Lupus. Cureus, 11, e4166.
[10] 廖书生, 叶腾, 倪显达, 屠鸿翔, 贾志军. 系统性红斑狼疮患者心脏瓣膜病变的超声心动图特征及危险因素分析[J]. 中国循环杂志, 2022, 37(7): 695-700.
[11] 景显超, 王宏治. 系统性红斑狼疮心脏损害的心电图特点分析[J]. 中西医结合心脑血管病杂志, 2020, 18(14): 2366-2368.
[12] Mamas, M.A., Sperrin, M., Watson, M.C., Coutts, A., Wilde, K., Burton, C., et al. (2017) Do Patients Have Worse Outcomes in Heart Failure than in Cancer? A Primary Care-Based Cohort Study with 10-Year Follow-Up in Scotland. European Journal of Heart Failure, 19, 1095-1104. [Google Scholar] [CrossRef] [PubMed]
[13] Yafasova, A., Fosbøl, E.L., Schou, M., Baslund, B., Faurschou, M., Docherty, K.F., et al. (2021) Long-Term Cardiovascular Out-comes in Systemic Lupus Erythematosus. Journal of the American College of Cardiology, 77, 1717-1727. [Google Scholar] [CrossRef] [PubMed]
[14] du Toit, R., Herbst, P.G., Ackerman, C., Pecoraro, A.J.K., Claassen, D., Cyster, H.P., et al. (2021) Outcome of Clinical and Subclinical Myocardial Injury in Systemic Lupus Erythemato-sus—A Prospective Cohort Study. Lupus, 30, 256-268. [Google Scholar] [CrossRef] [PubMed]
[15] Liu, L., Dong, Y.L., Gao, H.B., Yao, D.Q., Zhang, R., Zheng, T.K., Jin, Y.L., Lv, B.P. and Tian, Y.P. (2020) Cardiogenic Shock as the Initial Manifestation of Systemic Lupus Ery-thematosus. ESC Heart Failure, 7, 1992-1996. [Google Scholar] [CrossRef] [PubMed]
[16] 陈慧娟, 毛尔宁, 章春泉. 系统性红斑狼疮心脏损害的影像学研究进展[J]. 实用临床医学, 2021, 22(4): 99-101+ 106.
[17] 张运, 尹立雪, 邓又斌, 任卫东, 穆玉明, 张梅, 许迪, 李爽, 姚桂华. 中国成年人超声心动图检查测量指南[J]. 中华超声影像学杂志, 2016, 25(8): 645-665.
[18] 施仲伟. 2016年欧美《超声心动图评价左心室舒张功能建议》新指南极大简化超声心动图评价左心室舒张功能[J]. 诊断学理论与实践, 2017, 16(1): 38-41. [Google Scholar] [CrossRef] 
[19] 贺赟, 李国杰, 朱向明. 组织多普勒成像技术对系统性红斑狼疮心脏功能评价的研究进展[J]. 中华解剖与临床杂志, 2016, 21(4): 373-376.
[20] Zhong, X.F., Chen, L.X., Peng, G.J., Sheng, Y.Y., Liu, X.H., Zheng, Y.Q., Huang, Y.X., Xu, J.F. and Liu, Y.Y. (2022) Early Assessment of Subclinical Myocardial Injury in Systemic Lupus Erythematosus by Two-Dimensional Longitudinal Layer Speckle Tracking Imaging. Quantitative Imaging in Medicine and Surgery, 12, 2947-2960. [Google Scholar] [CrossRef] [PubMed]
[21] 戚瑞祥, 游向东. 二维斑点追踪技术在心血管疾病中的临床应用[J]. 医学影像学杂志, 2016, 26(3): 534-537.
[22] Sahin, S., Dedeoglu, R., Adrovic, A., Oztunc, F., Barut, K., Koka, A., Cengiz, D. and Kasapcopur, O. (2016) SAT0254 The Iceberg in Juvenile Onset Systemic Lupus Erythematosus: Sub-clinical Deterioration of Cardiac Functions Assessed with Two-Dimensional Speckle Tracking Echocardiography and Contributing Factors of Systolic Dysfunction. Annals of the Rheumatic Diseases, 75, 760-761. [Google Scholar] [CrossRef] 
[23] Li, X., Liu, J., Chen, L.P., Zhang, X.L., Wei, X. and Tang, H. (2015) GW26-e0214 Assessment of Left Ventricular Myocardial Function in Systemic Lupus Erythematosus Patients with Varying Degrees of Pulmonary Hypertension by Two-Dimensional Speckle Tracking Imaging. Journal of the American College of Cardiology, 66, C238. [Google Scholar] [CrossRef] 
[24] Gegenava, T., Gegenava, M., Steup-Beekman, G.M., Huizinga, T.W.J., Bax, J.J., Delgado, V. and Marsan, N.A. (2020) Left Ventricular Systolic Function in Patients with Systemic Lupus Erythematosus and Its Association with Cardiovascular Events. Journal of the American Society of Echocardiog-raphy, 33, 1116-1122. [Google Scholar] [CrossRef] [PubMed]
[25] 李帅, 袁建军, 朱好辉, 吴铭, 吕诗佳, 李思靓. 纵向峰值应变离散度及收缩期峰值应变评价系统性红斑狼疮患者左心室收缩功能[J]. 中国医学影像学杂志, 2020, 28(2): 95-98.
[26] Ji, X. and Zhang, X. (2022) Assessment of Left Ventricular Systolic Synchrony by Peak Strain Dispersion in Patients with Systemic Lupus Erythematosus. European Review for Medical and Pharmacological Sciences, 26, 2840-2846.
[27] 罗玲, 尹立雪, 王斯佳, 郭智宇. 系统性红斑狼疮亚临床左心室心肌功能不全的四维超声系统性定量研究[J]. 中华医学超声杂志(电子版), 2019, 16(2): 108-114.
[28] 罗玲, 尹立雪, 郭智宇. 超声分层应变成像技术可视化评价系统性红斑狼疮患者左心室机械力学变化[J]. 中华超声影像学杂志, 2019, 28(7): 581-587.
[29] 王方方, 张瑞芳, 武丽娜, 张秀婷. 纵向分层应变评价早期系统性红斑狼疮左心室收缩功能及同步性改变[J]. 中国医学影像技术, 2020, 36(5): 696-701. [Google Scholar] [CrossRef] 
[30] 杨静, 方理刚, 张丽华, 李玲, 徐瑞燚. 系统性红斑狼疮(SLE)患者瓣膜病变的超声表现[C]//中国超声医学工程学会. 中国超声医学工程学会第十三届全国超声心动图学术会议论文汇编. 2016: 96.
[31] 车国英, 苏雁欣, 梁红, 唐姜人的, 于秀雷. 超声瞬时波强技术对系统性红斑狼疮患者左心室功能的评价[C]//中国超声医学工程学会. 中国超声医学工程学会第十四届全国超声心动图学术会议论文汇编. 2018: 170.

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