老年钙化性心脏瓣膜病临床分析

目的探讨老年钙化性心脏瓣膜病（CVHD）患者的临床特点。方法230例60岁以上经超声心动图诊断CVHD患者,回顾性分析了临床表现、超声心动图和其他辅助检查资料。结果CVHD常伴发高血压病、冠心病、糖尿病等疾病。受累瓣膜以主动脉瓣最常见,二尖瓣次之。无冠瓣钙化多于左、右冠瓣,瓣膜反流多于狭窄,二尖瓣钙化女性多于男性。常见心脏功能受损为左心舒张功减低（82.3%）、左房增大（37.1%）和左室增大（18.5%）。心律失常主要为期前收缩（41.7%）、心房颤动（20.4%）、房室传导阻滞（16.1%）。胸部X线检查71.7%有主动脉弓钙化;生化检查62.6%有血脂异常。结论CVHD临床表现和实验室检查具有一定特点,而主动脉弓钙化有助于诊断,但确诊仍需借助超声心动图。

Clinical analysis of calcific valvular heart disease in the elderly

Objective To discuss the clinical characteristics of the elderly patients with calcific valvular heart disease (CVHD). Methods The clinical data of 230 CVHD patients aged over 60 years were enrolled. The diagnosis was confirmed by echocardiography. The patients' data were retrospectively analyzed,including clinical manifestation,the results of echocardiography and other adjunctive examinations. Results CVHD was usually complicated by hypertension,coronary artery disease,and diabetes mellitus. In which,aorti...