Cardiac function

心功能
  • 文章类型: Journal Article
    背景:由于ECHO实验室之间的差异,医生在解释超声心动图(ECHO)结果时面临复杂性。许多国际组织发表了报告,以减少ECHO报告中的相互差异。然而,随着成像模式的发展,ECHO报告的重大改进对于消除以前的任何差异至关重要。埃及超声心动图工作组(EEWG)旨在制定标准化的,已更新,简单,和全面的ECHO报告在埃及提供一致性,保证所有关键特征都得到满足,并简化从业者的沟通,以最大限度地提高临床决策。
    方法:检索并审查了相关文章,以探讨TTE报告实践的现状,现有准则,以及医生在解释TTE结果时面临的挑战。然后利用确定的差距和需要改进的领域来建立标准化方法的纲要。本报告涉及人口统计数据等关键组成部分,测量,和解释性摘要。它强调左心室测量和收缩功能评估,结合先进的技术,如斑点跟踪和三维成像。评价舒张功能的意义,检查右心室,和评估阀门,心包,还讨论了主动脉。
    结论:当前的共识目标是简化从业者之间的沟通,这有助于采用更统一的方法来解释ECHO结果。我们的倡议标志着在提高埃及ECHO报告的标准化和质量方面迈出了重要一步。通过介绍这份报告并鼓励不断学习,工作组旨在提高整体报告质量,并促进不同超声心动图设置的判读.这种协调一致的努力通过确保一致性来改善患者护理,准确度,以及解释超声心动图检查结果的相关性。
    BACKGROUND: Physicians face complexity in interpreting the results of echocardiography (ECHO) due to the variability across ECHO laboratories. Many international organizations published reports to reduce the inter-variability in ECHO reporting. However, with the evolution of imaging modalities, significant improvements in ECHO reporting are essential to eliminate any previous discrepancies. The Egyptian Working Group of Echocardiography (EEWG) aimed to prepare a standardized, updated, simple, and comprehensive ECHO reporting in Egypt to offer consistency, guarantee that all the crucial features are fulfilled, and ease practitioners\' communication to maximize clinical decision-making.
    METHODS: Relevant articles were retrieved and reviewed to explore the current state of TTE reporting practices, existing guidelines, and challenges faced by physicians in interpreting TTE results. Identified gaps and areas for improvement were then employed to establish the outline for the standardization approach. This report addresses crucial components such as demographic data, measurements, and interpretative summaries. It emphasizes left ventricle measurements and systolic function assessment, incorporating advanced techniques like speckle tracking and three-dimensional imaging. The significance of evaluating diastolic function, examining the right ventricle, and assessing valves, pericardium, and aorta are also discussed.
    CONCLUSIONS: The current consensus goals to streamline communication among practitioners contribute to a more unified approach to interpreting ECHO results. Our initiative marks a significant step forward in enhancing the standardization and quality of ECHO reporting in Egypt. By introducing this report and encouraging continuous learning, the working group aims to raise the overall reporting quality and facilitate interpretation across diverse echocardiographic settings. This concerted effort improves patient care by ensuring consistency, accuracy, and relevance in interpreting echocardiographic findings.
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  • 文章类型: Journal Article
    糖尿病是心血管疾病的主要危险因素,包括糖尿病性心肌病,动脉粥样硬化,心肌梗塞,和心力衰竭。由于心血管疾病是糖尿病患者的头号死因,人们一直非常重视理解糖尿病促进心血管疾病的机制,以及抗糖尿病疗法如何影响糖尿病性心脏病。有了各种各样的模型来研究糖尿病(1型和2型),该领域在回答这些问题方面取得了重大进展。然而,每个模型都有其固有的局限性。因此,本指南文件的目的是为该领域提供有关糖尿病人群心血管疾病的哪些方面可以通过现有模型最准确地再现的信息.这篇综述旨在强调每种模式的优缺点,并强调所涉及的实际挑战和技术考虑。我们将回顾糖尿病的临床前动物模型(基于他们的诱导方法),评估糖尿病相关动脉粥样硬化和心力衰竭的模型,探讨糖尿病性心脏病的体外模型。这些指南将允许研究人员选择合适的糖尿病性心脏病模型,取决于正在解决的具体研究问题。
    Diabetes is a major risk factor for cardiovascular diseases, including diabetic cardiomyopathy, atherosclerosis, myocardial infarction, and heart failure. As cardiovascular disease represents the number one cause of death in people with diabetes, there has been a major emphasis on understanding the mechanisms by which diabetes promotes cardiovascular disease, and how antidiabetic therapies impact diabetic heart disease. With a wide array of models to study diabetes (both type 1 and type 2), the field has made major progress in answering these questions. However, each model has its own inherent limitations. Therefore, the purpose of this guidelines document is to provide the field with information on which aspects of cardiovascular disease in the human diabetic population are most accurately reproduced by the available models. This review aims to emphasize the advantages and disadvantages of each model, and to highlight the practical challenges and technical considerations involved. We will review the preclinical animal models of diabetes (based on their method of induction), appraise models of diabetes-related atherosclerosis and heart failure, and discuss in vitro models of diabetic heart disease. These guidelines will allow researchers to select the appropriate model of diabetic heart disease, depending on the specific research question being addressed.
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