超声心动图对心血管病的检查EchocardiographySpectralColorMmode2DDopplerDopplerTEE----------------------------------------------------------------------------------Anatomy-PathologyChambersize++++++++––++Thicknessofwalls+++++++––+++Relationofchambers+++++––+++EarlyclosureofMV+++++––+SAMofMV+++++++––+++LVmass(g)++++++++–––LVmasses(tumor,clot,vegetation)++++––++++Massesinatriaandrightventricle+++––++++Anatomicvalvularpathology++++++––++++Septaldefects+++++*++++++++++Pericardialeffusion++++++––++----------------------------------------------------------------------------------------Cheitlinetal.2003,ACC/AHAPracticeGuidelinesEchocardiographySpectralColorMmode2DDopplerDopplerTEE---------------------------------------------------------------------------------------------FunctionGlobalLVsystolicfunction(EF)++++++++–+++Regionalwallmotion++++––++++Severityofvalvestenosis++++++++++++Severityofvalveregurgitation+++++++++++Siteofleft-to-right,right-to-leftshunt–+++*++++++++++RVandPAsystolicpressure––++++––LVfillingpressure––++––Strokevolumeandcardiacoutput++++++––LVdiastolicfunction+++++––IdentifyischemiaandviableMyocardiumwithexercise–+++–––orpharmacologicalstressDiseasesoftheaorta–++–++++++Prostheticvalveevaluation++++++++++++++----------------------------------------------------------------------------------------------------超声心动图报告的常用指标二、左室功能指标心肌损伤和负荷过重后左室重构胸骨旁长轴M-型超声心动图M型超声测定左室指标的变异左心室壁运动的观察左心室壁运动的观察三、室间隔肥厚的鉴别诊断心肌肥厚的超声心动图与心电图四、常见的超声诊断的临床分析思路1、心腔扩大的诊断思路心腔增大的临床意义2、心肌肥厚的诊断思路3、室壁运动异常的诊断思路4、左室射血分数的临床意义5、左室舒张功能的超声评估多普勒血流频谱左室舒张功能分类6、瓣膜血流异常的临床价值心内科医生对超声心动图的理解应注意的问题