首页 | 本学科首页   官方微博 | 高级检索  
     

超声心动图评价老年高血压患者伴瓣膜病变对心功能的影响
引用本文:张何林,吴雅峰,李一丹. 超声心动图评价老年高血压患者伴瓣膜病变对心功能的影响[J]. 中华医学超声杂志(电子版), 2010, 7(12): 52-54. DOI: 10.3877/cma.j.issn.1672-6448.2010.12.021
作者姓名:张何林  吴雅峰  李一丹
作者单位:1. 山西省高平市妇幼保健院
2. 首都医科大学附属北京朝阳医院超声医学科,100012
摘    要:目的通过超声心动图探讨老年高血压病患者伴心脏瓣膜退行性改变对心功能和血流动力学影响。方法根据126例老年高血压病患者心脏各瓣膜变化情况分为瓣膜病变组(36例)、无瓣膜病变组(90例),32例健康老人作为正常对照组。应用超声心动图检测3组患者左心室舒张末期内径(LVDD)、室间隔厚度(IVST)和左心室壁厚度(LVPWT),左心房面积(LAA)、左心室射血分数(LVEF)和肺动脉收缩压(PSAP),再行心电图检查心房颤动情况,并将3组数据进行组间比较分析。结果高血压无瓣膜病变患者,瓣膜反流改变以二尖瓣最多(占86.1%),反流程度重度者以三尖瓣反流最多;瓣膜钙化以主动脉瓣多见。瓣膜病变组与无瓣膜病变组以及正常对照组LVDD、LAA、LVEF、PASP以及心房颤动发生率比较差异有统计学意义,而在瓣膜病变组与无瓣膜病变组之间心室壁厚度差异无统计学意义。结论老年高血压患者合并心脏瓣膜改变是加重心功能损害的重要因素。

关 键 词:超声心动图描记术  高血压  心脏瓣膜疾病  心室功能

A prospective study to assess cardiac function of valve disease in elderly patients with hypertension by echocardiography
ZHANG He-lin,WU Ya-feng,LI Yi-dan. A prospective study to assess cardiac function of valve disease in elderly patients with hypertension by echocardiography[J]. Chinese Journal of Medical Ultrasound, 2010, 7(12): 52-54. DOI: 10.3877/cma.j.issn.1672-6448.2010.12.021
Authors:ZHANG He-lin  WU Ya-feng  LI Yi-dan
Affiliation:ZHANG He-lin,WU Ya-feng,LI Yi-dan. Department of Ultrasound,Chaoyang Hospital,Capital Medical University,Beijing 100020,China
Abstract:Objective To investigate the change of cardiac function in elderly hypertensive patients with heart valve degenerative by echocardiography. Methods A total of 126 cases were divided into a valve disease group and non-valve disease group groups. The parameters of trial size,cardiac function and pulmonary artery pressure were detected. Results Of all 126 cases were the patients with hypertension including 28.6% (36/126) of valve disease group and 71.4% (90/126) of non-valve disease. There were 31 cases with m...
Keywords:Echocardiography  Hypertension  Heart valve disease  Ventricular function  
本文献已被 CNKI 维普 万方数据 等数据库收录!
点击此处可从《中华医学超声杂志(电子版)》浏览原始摘要信息
点击此处可从《中华医学超声杂志(电子版)》下载全文
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号