Diagnostic value of right myocardial contrast echocardiography with a mixture of hand vibrating glucose and normal saline in congenital heart disease of abnormal right-to-left shunt
10.3969/j.issn.1009-0754.2025.02.013
- VernacularTitle:手振葡萄糖与生理盐水混合液右心声学造影对右向左异常分流先天性心脏病的诊断价值
- Author:
Jianyi ZHENG
1
;
Cuiyun WANG
Author Information
1. 515154 广东汕头,广东省汕头市潮阳区大峰医院超声科
- Keywords:
Hand vibration;
Mixed liquor;
Right echography;
Abnormal right-to-left shunt;
Congenital heart disease
- From:
Journal of Navy Medicine
2025;46(2):165-169
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the diagnostic value of right myocardial contrast echocardiography with a mixture of hand vibrating glucose and normal saline in congenital heart disease(CHD)of abnormal right-to-left shunt.Methods A total of 150 patients with suspected CHD of abnormal right-to-left shunt who underwent conventional echocardiography and right myocardial contrast echocardiography from January 2019 to August 2023 were selected as research objects.Transesophageal echocardiography was taken as the gold standard.The detection rate of conventional echocardiography and right myocardial contrast echocardiography were compared.Semi-quantitative grading of right myocardial contrast echocardiography was recorded.Results The diagnostic result was positive in 68 patients by digital subtraction angiography,in 48 patients by conventional echocardiography,in 66 patients by right myocardial contrast echocardiography.The detection rate and sensitivity of right myocardial contrast echocardiography to CHD of abnormal right-to-left shunt were higher than those of conventional echocardiography(all P<0.05).There were 84 cases of grade 0,22 cases of grade Ⅰ,26 cases of grade Ⅱ and 18 cases of grade Ⅲ according to the semi-quantitative classification.Conclusion Right myocardial contrast echocardiography with a mixture of glucose and saline has a high detection rate and sensitivity for CHD of abnormal right-to-left shunt.It can show internal cardiac results and has diagnostic value for the severity of CHD.
