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《医学前沿（英文）》 2012年 第6卷 第3期 页码 332-337 doi: 10.1007/s11684-012-0212-8
Bedside limited echocardiography, or focused cardiac ultrasound, continues to gain popularity in many emergency rooms, intensive care units, and operating rooms as a rapid method of assessing unstable patients. Effective monitoring of cardiovascular function in conditions like cardiac arrest or near-arrest is the crucial step to guide successful resuscitative efforts. Transesophageal echocardiography (TEE) has emerged as one of the preferred cardiac diagnostic and monitoring modalities in the intraoperative setting due to the fact that it is less invasive than many other monitors, is immediately accessible, and allows for continuous real-time monitoring of cardiac function. However, the minimum training requirements needed for the anesthesia provider to obtain the competency, knowledge, and skills for basic certification in perioperative TEE far exceed those developed for other medical specialties. We believe there is an urgent need to develop (1) practical guidelines for emergent perioperative TEE use for anesthesiologists and (2) a requisite educational curriculum to teach the basic skills necessary to aid in the diagnosis and treatment of cardiac arrest or near-arrest scenarios. The measures elucidated in this report summarize the efforts of the Department of Anesthesiology at the University of Florida in establishing the necessary steps to make this process not only practical, but accessible to all trainees. We hope that these collective efforts will provide more trainees the confidence in utilizing TEE to aid in establishing a diagnosis in critical situations.
关键词： transesophageal echocardiography curriculum competency training hemodynamic instability
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《医学前沿（英文）》 2013年 第7卷 第2期 页码 270-273 doi: 10.1007/s11684-013-0261-7
In the presence of a large patent ductus arteriosus (PDA), aortic co-arctation (CoA) cannot be diagnosed clinically because PDA masks the clinical features. This condition impedes the identification of CoA by transthoracic echcocardiography. However, the closure of PDA can result in a severe clinical condition that causes a patient with undiagnosed CoA to suffer from shock and multi-organ failure. In this article, a case of PDA was presented, in which transesophageal echocardiography provided full information that could be used as reference to identify and define CoA during PDA ligation surgery.
关键词： patent ductus arteriosus aortic co-arctation transesophageal echocardiography
Incremental value of contrast echocardiography in the diagnosis of left ventricular noncompaction
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《医学前沿（英文）》 2016年 第10卷 第4期 页码 499-506 doi: 10.1007/s11684-016-0473-8
Contrast echocardiography with left ventricular opacification (LVO) improves the definition of endocardium in two-dimensional echocardiography (2DE). This study was aimed to determine whether LVO offered added diagnostic value in noncompaction of left ventricular myocardium (NCVM). A total of 85 patients (40±20 years, 54 males) with suspected NCVM were subjected to transthoracic 2DE and LVO, and 40 healthy volunteers were examined with 2DE and assigned as control subjects. The location of NCVM, the thickness ratio of noncompacted to compacted myocardium (NCR), and the cavity size and ejection fraction of LV were quantified. Results revealed that NCVM was mainly located in the LV medium (53.2%), apical (46.2%) segments, and lateral wall (39.8%). The NCR obtained through LVO was greater than that detected through 2DE (4.2±1.3 vs. 3.3±1.2, P<0.001), and higher inter-correlations and less intra- and inter-observer variabilities were determined in the former than in the latter. The NCVM detection rates were also increased from 63.5% via 2DE to 83.5% via LVO and 89.4% via 2DE combined with LVO (2DE+ LVO) (P = 0.0004). The LV cavity size was greater and the LV ejection fraction (LVEF) was lower in the NCVM patients than in the control group (P<0.01). In the NCVM group, the LV cavity size was higher and the LVEF was lower in LVO than in 2DE (P<0.01). In conclusion, contrast echocardiography contributes significant sensitivity and reproducibility to routine transthoracic echocardiography in NCVM diagnosis. Therefore, this technique should be clinically performed to diagnose suspected NCVM.
关键词： echocardiography left ventricular noncompaction cardiomyopathy echo contrast media
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《医学前沿（英文）》 2015年 第9卷 第1期 页码 123-128 doi: 10.1007/s11684-014-0366-7
Guidelines for the intraoperative transesophageal echocardiography (TEE) examination have defined a detailed standard for medical professionals, particularly anesthesiologists, on how a TEE exam should proceed. Over the years, TEE has gained substantial popularity and emerged as a preferred monitoring modality to aid in perioperative management and decision making during hemodynamic instability situations or critical care settings. TEE training pathways and practice guidelines have been well established in western countries and many regions of the world. However, TEE training and practice information for anesthesiologists are lacking in China. As innovative technologies develop, other educational models have emerged to aid in obtaining competency in basic TEE exam. Hence, establishing a consensus on the ideal TEE training approach for anesthesiologists in China is urgently needed. Developing an effective curriculum that can be incorporated into an anesthesiology resident’s overall training is also necessary to provide knowledge and skills toward competency in basic TEE exam. With evolving medical system reforms and increasing demands for intraoperative hemodynamic monitoring to accommodate surgical innovations, anesthesiology professionals are increasingly obliged to perform intraoperative TEE exams in their current and future practices. To overcome obstacles and achieve significant progress in using the TEE modality to help in intraoperative management and surgical decision making, publishing basic TEE training guidelines for China’s anesthesiologists is an important endeavor.
关键词： transesophageal echocardiography guidelines training competency
Houjuan Zuo, Rui Li, Fei Ma, Jiangang Jiang, Kun Miao, Haojie Li, Eike Nagel, Marijana Tadic, Hong Wang, Dao Wen Wang
《医学前沿（英文）》 2020年 第14卷 第3期 页码 284-292 doi: 10.1007/s11684-019-0713-9
关键词： fulminant myocarditis acute myocarditis 2D speckle tracking echocardiography left ventricular function global longitudinal strain
WANG Hong, HUANG Lan, JIN Jun, SONG Yaoming, GENG Zhaohua, YU Xuejun, QIN Jun, ZHAO Gang, GAO Yunhua, LIU Zheng
《医学前沿（英文）》 2007年 第1卷 第1期 页码 62-67 doi: 10.1007/s11684-007-0013-7
纪学芹,丁莉莉,锁耀宇,史瑞仙,刘燕翔,陈耀平
《中国工程科学》 2015年 第17卷 第6期 页码 77-81
建立宁夏地区妊娠中期胎儿心血管系统各解剖结构内径的正常参考值范围，探求其随孕周变化规律。对妊娠中期（22~28周）正常胎儿1 246例行超声心动图检查，测量心房、心室、卵圆孔、主动脉、肺动脉、左/右肺动脉、主动脉弓峡部、降主动脉、动脉导管内径。根据孕周对测量数据进行分组，同时对各组测量数据和孕周进行相关性研究。胎儿心脏各房室及大血管内径随孕周增加而增大，与孕周显著相关（P<0.05）。建立宁夏地区妊娠中期胎儿心血管系统结构相关的正常参考值范围，可评价胎儿心血管系统发育情况，为准确识别胎儿先天性心脏病提供重要依据。
Wei HAN MM, Ming-Xing XIE MD, Qing LV MD, Xin-Fang WANG MD, Li ZHANG MM,
《医学前沿（英文）》 2010年 第4卷 第1期 页码 71-76 doi: 10.1007/s11684-010-0006-9
关键词： echocardiography twist two-dimensional strain imaging coronary artery disease
基于一种全新的优化多变量非等距模型对中国汉族成人左心室多普勒超声心动图测值生理性变异的校正方法 Article
姚桂华, 陈湘云, 杨文静, 张青, 刘静, 梁欢, 孙慧, 许耀, 王丽, 徐金锋, 张澄, 孙丰荣, 张梅, 曾雪迎, 张运
《工程（英文）》 2022年 第16卷 第9期 页码 115-122 doi: 10.1016/j.eng.2021.05.007
多数左心室（LV）多普勒超声心动图参数测值随年龄和性别显著变化，因此有必要对其生理性差异进行校正。本研究旨在验证：不同的多普勒参数测值与生物学特征变量间呈异速非线性相关，且其校正常数与校正指数各不同。共测量了1224名健康成人的23个LV多普勒参数。随机选择70%数据（A组）建立优化多变量非线性模型（OMAM），在30%数据（B组）和183名超重人群数据（C组）中验证OMAM的可靠性，并与基于体表面积（BSA）的单变量等距模型（SVIM）进行比较。结果显示，校正前，23个LV多普勒参数均与一个或多个生物学特征变量显著相关，B组中47.8% (11/23)的参数存在性别间差异，经OMAM校正后，81.8% (9/11)的参数消除了性别间差异。OMAM对B组和C组数据的校正成功率分别为100% (23/23)和82.6% (19/23)，建立了独立于生物学特征变量的多普勒参数的OMAM参考值，而基于BSA的SVIM校正成功率为零。不同的LV多普勒参数与一个或多个生物学特征变量呈异速非线性相关；本研究建立的OMAM成功校正了因生物学特征变量差异对健康和超重人群多普勒测值的生理性影响，其校正效果显著优于传统的SVIM。然而，OMAM针对其他种族、肥胖和疾病状态人群的适用性仍需进一步探究
标题 作者 时间 类型 操作
Emergent limited perioperative transesophageal echocardiography: should new guidelines exist for limitedechocardiography training for anesthesiologists?
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期刊论文
Unexpected co-arctation of aorta detected by transesophageal echocardiography during patent ductus arteriosus
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期刊论文
Incremental value of contrast echocardiography in the diagnosis of left ventricular noncompaction
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期刊论文
Essential training steps to achieving competency in the basic intraoperative transesophageal echocardiography
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期刊论文
Temporal echocardiography findings in patients with fulminant myocarditis: beyond ejection fraction decline
Houjuan Zuo, Rui Li, Fei Ma, Jiangang Jiang, Kun Miao, Haojie Li, Eike Nagel, Marijana Tadic, Hong Wang, Dao Wen Wang
期刊论文
percutaneous coronary intervention in coronary artery disease by using intracoronary myocardial contrast echocardiography
WANG Hong, HUANG Lan, JIN Jun, SONG Yaoming, GENG Zhaohua, YU Xuejun, QIN Jun, ZHAO Gang, GAO Yunhua, LIU Zheng
期刊论文
Assessment of global and regional left ventricular twist and displacement in anterior myocardial infarction using 2-dimensional strain imaging
Wei HAN MM, Ming-Xing XIE MD, Qing LV MD, Xin-Fang WANG MD, Li ZHANG MM,
期刊论文
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