Noninvasive right ventricular pressure-strain loop for quantitative evaluation on right ventricular myocardial function changes in liver cirrhosis patients after TIPS
10.13929/j.issn.1003-3289.2025.09.012
- VernacularTitle:无创右心室压力-应变环定量评估肝硬化患者TIPS前、后右心室心肌功能变化
- Author:
Jiayi XU
1
;
Xinchun YUAN
1
;
Jia HU
1
;
Zheyuan ZHANG
1
;
Hongling RAN
1
;
Kun YANG
1
;
HOUYu XIA
1
Author Information
1. 南昌大学江西医学院第一附属医院超声医学科,江西南昌 330006
- Publication Type:Journal Article
- Keywords:
liver cirrhosis;
portosystemic shunt,transjugular intrahepatic;
ventricular pressure;
ventricular function,right;
echocardiography
- From:
Chinese Journal of Medical Imaging Technology
2025;41(9):1512-1516
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the value of noninvasive right ventricular pressure-strain loop(RVPSL)for quantitative evaluation on right ventricular myocardial function changes in liver cirrhosis patients after TIPS.Methods Totally 26 cases of liver cirrhosis who would undergo TIPS were prospectively recruited as liver cirrhosis group.Echocardiography was performed before and 1 week,1 month after TIPS,and parameters of right ventricular myocardial function,including routine right ventricular echocardiography,right ventricular strain and right ventricular myocardial work were acquired.Meanwhile,30 healthy adults were recruited as control group,and the above parameters were recorded.Then these parameters were compared between groups,also before and after TIPS within liver cirrhosis group,and the changes of right ventricular myocardial function after TIPS were evaluated.Results Right ventricular global work index(RVGWI),right ventricular global constructive work(RVGCW)and right ventricular global wasted work(RVGWW)in liver cirrhosis group were higher than those in control group at all time points(all P＜0.05).One weak and 1 month after TIPS,right ventricular global longitudinal strain(RVGLS)and right ventricular free wall longitudinal strain(RVFWLS)in liver cirrhosis group were all higher than those in control group(all P＜0.05).In liver cirrhosis group,RVGWI,RVGCW and RVGWW 1 week after TIPS were all higher than those before TIPS and 1 month after TIPS(all P＜0.05),while RVGLS 1 weak and RVGWI 1 month after TIPS were both higher than those before TIPS(both P＜0.05).Conclusion Noninvasive RVPSL could be used to sensitively and quantitatively evaluate right ventricular function changes in patients with liver cirrhosis after TIPS.
