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多普勒超声心动图运动负荷试验对老年冠心病患者左心室储备功能的评价
引用本文:欧阳福珍,祁芸芸,张树彬,马宇晨,林景辉,朱玫,杨虎,王莉. 多普勒超声心动图运动负荷试验对老年冠心病患者左心室储备功能的评价[J]. 中国医学影像技术, 2000, 16(1): 0024-26
作者姓名:欧阳福珍  祁芸芸  张树彬  马宇晨  林景辉  朱玫  杨虎  王莉
作者单位:北京医科大学第一医院老年内科!北京100034,北京医科大学第一医院老年!北京100034,北京医科大学第一医院老年!北京100034
基金项目:北医大一院青年及归国人员科研启动基金
摘    要:] Purpose To investigate left ventricularsystolic and diastolic reserved function of normal aged and aged subjects with coronaryheart disease (CHD) under submaximal stress conditions. Methods 89 subjects (younghealthy 20,aged healthy 31,aged CHD 38) performed submaximal supine bicycle exercise withelectrocardiography,ultrasonic cardiography and 99m-Technetium imaging exercise testingsdone synchronously.The aortic and mitral flow patterns were recorded by Dopplerechocardiography. Results The percent changes in aortic variables of systolicfunction of aged healthy subjects were much lower than those of young healthy subjects,andmuch higher than those of aged CHD patients.After exercise,the A/E ratio increased inyoung group,while decreased in aged healthy and CHD groups. Conclusion Under submaximal stressconditions,the cardiac systolic reserved function was obviously decreased in aged healthysubjects,and much lower in aged CHD patients.The changes of left ventricular fillingpatterns in healthy aged and aged CHD groups might suggest an elevation in left atrialpressure and decreased cardiac diastolic reserved and left atrial compensatory functions.

关 键 词:多普勒超声心动图  运动试验  左心室功能  老年人

Evaluation of Left Ventricular Reserved Function in the Aged CHD Subjects by Exercise Doppler Echocardiography
OU YANG Fu-Zhen,QI Yun-Yun,ZHANG Shu-Bin,MA Yu-Chen,LING Jing-Hui,ZHU Mei,YANG Hu and WANG Li. Evaluation of Left Ventricular Reserved Function in the Aged CHD Subjects by Exercise Doppler Echocardiography[J]. Chinese Journal of Medical Imaging Technology, 2000, 16(1): 0024-26
Authors:OU YANG Fu-Zhen  QI Yun-Yun  ZHANG Shu-Bin  MA Yu-Chen  LING Jing-Hui  ZHU Mei  YANG Hu  WANG Li
Affiliation:Department of Gerontology , First Hospital of BMU , Beijing 100034 , China;Department of Gerontology , First Hospital of BMU , Beijing 100034 , China;Department of Gerontology , First Hospital of BMU , Beijing 100034 , China;Department of Gerontology , First Hospital of BMU , Beijing 100034 , China;Department of Gerontology , First Hospital of BMU , Beijing 100034 , China;Department of Gerontology , First Hospital of BMU , Beijing 100034 , China
Abstract:Purpose To investigate left ventricular systolic and diastolic reserved function of normal aged and aged subjects with coronary heart disease (CHD) under submaximal stress conditions. Methods 89 subjects (young healthy 20,aged healthy 31,aged CHD 38) performed submaximal supine bicycle exercise with electrocardiography,ultrasonic cardiography and 99m Technetium imaging exercise testings done synchronously.The aortic and mitral flow patterns were recorded by Doppler echocardiography. Results The percent changes in aortic variables of systolic function of aged healthy subjects were much lower than those of young healthy subjects,and much higher than those of aged CHD patients.After exercise,the A/E ratio increased in young group,while decreased in aged healthy and CHD groups. Conclusion Under submaximal stress conditions,the cardiac systolic reserved function was obviously decreased in aged healthy subjects,and much lower in aged CHD patients.The changes of left ventricular filling patterns in healthy aged and aged CHD groups might suggest an elevation in left atrial pressure and decreased cardiac diastolic reserved and left atrial compensatory functions. [
Keywords:Doppler UCG  Exercise test  LV function  Aged
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