高血压左室肥厚伴左心衰竭心脏彩超分析

目的对高血压左室肥厚伴左心衰竭患者的心脏彩超特征进行分析,为今后的临床诊断与治疗工作提供参考。方法抽取2011年11月—2013年11月收治的临床确诊高血压左室肥厚伴左心衰竭患者76例作为高血压组,同期心功能正常者60例作为正常组,对以上统计的两组研究对象展开心脏彩超检查,并对这两组研究对象的检查结果进行对比分析。计量资料采用t检验,计数资料采用χ2检验,P0.05为差异有统计学意义。结果高血压组患者的LAD、LVDd、E/Ea[(50.43±10.17)、(77.74±10.98)mm、14.43±3.71、(55.48±8.97)%]均较心功能正常组[(36.44±8.79)、(45.76±8.76)mm、7.06±2.01]显著升高(均P0.05),而LVEF值[(55.48±8.97)%]则较心功能正常组[(66.75±9.08)%]显著降低(P0.05)。随着心功能分级不断升高,患者的LAD、LVDd、E、Ea水平逐渐升高(P0.05),LVEF水平逐渐降低(P0.05)。结论经心脏彩超可对高血压左室肥厚伴左心衰竭进行准确的诊断,具有可行性,值得关注。     

产前心超诊断永存左上腔静脉引流入左房的价值

文章回顾性分析5例经产前超声诊断为永存左上腔静脉引流入左房的超声资料及随访结果,总结其超声声像图特点,探讨产前超声诊断永存左上腔静脉引流入左房的价值。     

When there is nothing left to do, there is everything left to do

Circle of Life Hospice in Reno, Nevada is not only a special place for patients and their families to find peace through a sense of meaning and purpose at the end of their life but is also an important place for staff to take care of each other as they take care of those who are dying. The Circle of Life Hospice provides a unique opportunity to examine carefully the power of providing an outlet for hospice staff to process their grief and offer support for one another so that they can continue to give the "everything that there is to do to" to their patients.     

Moexipril and left ventricular hypertrophy

Angiotensin-converting enzyme (ACE) inhibitors today are the standard therapy of patients with myocardial infarction and heart failure due to their proven beneficial effects in left ventricular remodeling and left ventricular function. ACE inhibitors have also been demonstrated to lead to regression of left ventricular hypertrophy (LVH). It is believed that the mechanism of action of LVH regression with ACE inhibitors arises from more than simple blood pressure reduction. LVH is an important risk factor for cardiovascular disease morbidity and mortality independent of blood pressure. Moexipril hydrochloride is a long-acting, non-sulfhydryl ACE inhibitor that can be taken once daily for the treatment of hypertension. Moexipril has now also been demonstrated to have beneficial effects on LVH and can lead to LVH regression.     

Lessons from my left foot

A personal experience with a chronic foot injury taught me 4 lessons about living with a chronic condition: people with chronic conditions may blame themselves, may feel guilty that other people have to help them, often have a depression that may be worse than the chronic condition, and may lose confidence in their capacity to do anything useful in life. These feelings need to be elicited and addressed when family physicians provide care to people with chronic conditions.     

老年急性心肌梗死病人早期左室重构及其与左心房扩大的关系

目的 研究老年急性心肌梗死患者左室重构及其左心房扩大的关系 方法 应用彩色多普勒超声心动图于病后2周检测了30例老年急性心肌梗死患者的左心房内径及容积,左心室内径及容积、左室重量及功能,并与48例健康对照组比较。结果 老年急性心肌梗死患者左心室内径及容量显著增加(P<0.01),左室重量增加,左室射血分数及短轴缩短率降低(P<0.01),左心室内径及容量显著增加(P<0.01),且与左心室内径及容量、左室重量显著正相关(P<0.01),与左室射血分数及短轴缩短率无明显相关(P>0.05),与舒张晚期及早期二尖瓣口血流峰值速度比(Av/Ev)无明显相关(P>0.05)。结论 老年急性心肌梗死患者早期即有左室重构,且可导致左心房扩大。     

老年急性心肌梗死病人早期左室重构及其与左心房扩大的关系

目的研究老年急性心肌梗死患者左室重构及其左心房扩大的关系方法应用彩色多普勒超声心动图于病后2周检测了30例老年急性心肌梗死患者的左心房内径及容积,左心室内径及容积、左室重量及功能,并与48例健康对照组比较.结果老年急性心肌梗死患者左心室内径及容量显著增加(P＜0.01),左室重量增加,左室射血分数及短轴缩短率降低(P＜0.01),左心室内径及容量显著增加(P＜0.01),且与左心室内径及容量、左室重量显著正相关(P＜0.01),与左室射血分数及短轴缩短率无明显相关(P＞0.05),与舒张晚期及早期二尖瓣口血流峰值速度比(Av/Ev)无明显相关(P＞0.05).结论老年急性心肌梗死患者早期即有左室重构,且可导致左心房扩大.