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老年高血压伴左室肥厚对左心功能的影响
引用本文:王浩,杨文. 老年高血压伴左室肥厚对左心功能的影响[J]. 临床心血管病杂志, 2003, 19(5): 275-276
作者姓名:王浩  杨文
作者单位:海军总医院干二科,北京,100037;海军总医院干二科,北京,100037
摘    要:目的 :探讨老年高血压伴左室肥厚对心功能的影响。方法 :应用核素心血池扫描的方法 ,对老年高血压伴左室肥厚和无左室肥厚的患者 ,进行了左室射血分数 (LVEF)、左室高峰射血率 (PER)、左室高峰充盈率(PFR)、1/ 3充盈分数 (1/ 3FF)及相角程 (PA)的测定 ,并进行比较。结果 :伴左室肥厚的患者PFR、1/ 3FF明显低于无左室肥厚的患者 ,PA明显高于无左室肥厚的患者。结论 :老年高血压伴左室肥厚对心功能的影响 ,主要表现为对舒张功能的影响 ;左室肥厚导致的心室肌纤维化、顺应性下降和运动协调性异常 ,是影响舒张功能的重要原因

关 键 词:高血压  左心室肥厚  心功能  核素心室造影
文章编号:1001-1439(2003)05-0275-02
修稿时间:2002-12-08

Influence of left ventricular hypertrophy on left ventricular function in the aged patients with hypertension
WANG Hao YANG Wen. Influence of left ventricular hypertrophy on left ventricular function in the aged patients with hypertension[J]. Journal of Clinical Cardiology, 2003, 19(5): 275-276
Authors:WANG Hao YANG Wen
Abstract:Objective:To investigate influence of left ventricular hypertrophy(LVH) on left ventricular function in the aged patients with hypertension(HP).Methods:Forty seven patients with HP divided into LVH and non LVH groups. Left ventricular ejection fraction (LVEF), Peak ejection rate (PER), Peak filling rate (PFR), 1/3 filling fraction (1/3 FF) and phase angle were measured with blood pool cardiac imaging.Results:There was no statistical difference in LVEF. PFR and 1/3FF were lower and PA was higher significantly in patients with LVH group than non-LVH group.Conclusion:LVH in the aged patients with HP is associated with diastolic dysfunction. Asynchronous left ventricular moving is a main factor that influence left ventricular diastolic function.
Keywords:Hypertension  Left ventricular hypertrophy  Left ventricular function  Blood pool cardiac imaging
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