左右心室功能相互影响的研究进展

梦圆 常(内蒙古科技大学包头医学院研究生学院，中国)
德喜 冯(内蒙古自治区人民医院超声医学科，中国)

摘要

右心室和左心室是相互依赖的，因为这两个结构都嵌套在心包内，具有共同的间隔，且由共同的心肌纤维包绕。因此，右心室容量或压力超负荷会影响左心室功能，并进一步反作用于右心室。论文阐述了心脏正常解剖结构及收缩期、舒张期、肺动脉高压时左右心室相互影响的作用机制，其临床相关性也在进一步探索中。

关键词

右心室；左心室；肺动脉高压；心室相互影响

参考

Stauber A, Wey C, Greutmann M, et al. Left ventricular outflow tract obstruction and its impact on systolic ventricular function and exercise capacity in adults with a subaortic right ventricle[J]. Cardiol, 2017(10):139-142.

Buckberg G, Mahajan A, Saleh S, et al. Structure and function relationships of the helical ventricular myocardial band[J]. ThoracCardiovasc Surg, 2008(3):578-589.

Saleh S, Liakopoulos OJ, Buckberg GD. The septal motor of biventricular function[J]. Cardiothorac Surg, 2006(1):126-138.

Naeije R, Badagliacca R. The overloaded right heart and ventricular interdependence[J]. Cardiovasc Res, 2017(12):1474-1485.

Eleid MF, Padang R, Pislaru SV, et al. Effect of transcatheter aortic valve replacement on right ventricular-pulmonary artery coupling[J]. ACC Cardiovasc Interv, 2019(21):2145-2154.

Goldstein JA, Harada A, Yagi Y, et al. Hemodynamic importance of systolic ventricular interaction, augmented right atrial contractility and atrioventricular synchrony in acute right ventricular dysfunction[J]. Am Coll Cardiol, 1990(16):181-189.

Almoosawy SA, Buchan K, Cross S. Ventricular interaction in the jugular venous pulse in aortic regurgitation[J]. Asian Cardiovasc Thorac Ann, 2019(9):767-769.

Ludbrook PA, Byrne JD, McKnight RC. Influence of right ventricular hemodynamics on left ventricular diastolic pressure–volume relations in man[J]. Circulation, 2017(59):21-31.

Schäfer M, Humphries S, Stenmark KR, et al. 4D-flow cardiac magnetic resonance-derived vorticity is sensitive marker of left ventricular diastolic dysfunction in patients with mild-to-moderate chronic obstructive pulmonary disease[J]. Cardiovasc Imaging, 2018(4):415-424.

Meng H, Chandrasekaran K, Villarraga HR, et al. Right and left ventricular interaction in pulmonary hypertension: Insight from velocity vector imaging[J]. Echocardiography, 2019(5):877-887.

Drazner MH, Prasad A, Ayers C, et al. The relationship of right- and left-sided filling pressures in patients with heart failure and a preserved ejection fraction[J]. Circ Heart Fail, 2010(2):202-206.

Naeije R, Manes A. The right ventricle in pulmonary arterial hypertension[J]. Eur Respir Rev, 2014(23):476-487.

Vonk Noordegraaf A, Westerhof BE, Westerhof N. The relationship between the right ventricle and its load in pulmonary hypertension[J]. Am Coll Cardiol,2017(69):236-243.

Driessen MM, Hui W, Bijnens BH, et al. Adverse ventricular-ventricular interactions in right ventricular pressure load: Insightsfrom pediatric pulmonary hypertension versus pulmonary stenosis[J]. Physiol Rep, 2016(11):2176-2175.

Lin ACW, Seale H, Hamilton-Craig C, et al. Quantification of biventricular strain and assessment of ventriculo-ventricular interaction in pulmonary arterial hypertension using exercise cardiac magnetic resonance imaging and myocardial feature tracking[J]. Magn Reson Imaging, 2019(5):1427-1436.

Kishiki K, Singh A, Narang A, et al. Impact of severe pulmonary arterial hypertension on the left heart and prognostic implications[J]. Am SocEchocardiogr, 2019(9):1128-1137.

Koestenberger M, Sallmon H, Avian A, et al. Ventricular-ventricular interaction variables correlate with surrogate variables of clinical outcome in children with pulmonary hypertension[J]. Pulm Circ, 2019(2):204.

Barr RG, Bluemke DA, Ahmed FS, et al. Percent emphysema, airflow obstruction, and impaired left ventricular filling[J]. Med, 2010(8):217-227.

Hardziyenka M, Campian ME, Reesink HJ, et al. Right ventricular failure following chronic pressure overload is associated with reduction in left ventricular mass: Evidence for atrophic remodeling[J]. Am Coll Cardiol, 2011(57):921-928.

Hardegree EL, Sachdev A, Fenstad ER, et al. Impaired left ventricular mechanics in pulmonary arterial hypertension: Identification of a cohort at high risk[J]. Circ Heart Fail, 2013(6):748-755.

Burkett DA, Slorach C, Patel SS, et al. Left ventricular myocardial function in children with pulmonary hypertension: Relation to right ventricular performance and hemodynamics[J]. Circ Cardiovasc Imaging, 2015(8):3260.

DOI: http://dx.doi.org/10.12345/yzlcyxzz.v4i5.7730