| 左室射血分数正常心力衰竭者的临床特点分析 |
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| 引用本文： | 邓阳春.左室射血分数正常心力衰竭者的临床特点分析[J].重庆医科大学学报,2011,36(7). |
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| 作者姓名： | 邓阳春 |
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| 作者单位： | 永州职业技术学院附属医院内科; |
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| 摘 要： | 目的:探讨左室射血分数正常心力衰竭(Heart failure with normal ejection fraction,HFNEF)的临床特点。方法:2009年1月至12月入我院治疗的慢性心力衰竭患者91例,根据2007年欧洲心脏病协会的HFNEF专家共识诊断HFNEF,给予抗心衰治疗,随访1年。结果:91例患者中,射血分数≥50%的HFNEF患者共48例(52.7%)。HFNEF患者较射血分数<50%的射血分数减损的心力衰竭(Heart failure with deteriorated ejection fraction,HFDEF)患者相比较,女性、高血压性心脏病和心功能Ⅱ级较多,合并高血脂和吸烟的也多。心超检查显示,除射血分数EF外,HFNEF组患者LVDd、LVDs、LAD及LVOT均低于HFDEF组,而HFNEF组患者FS高于HFDEF组患者。胸片显示HFNEF组心脏扩大和肺淤血的改变较少。HFNEF患者1年内再入院率和死亡率均低于HFDEF患者。结论:有50%以上的慢性心力衰竭患者保持有正常的左室射血分数,其中高血压、女性患者更为常见,心室扩大程度较轻,再入院率和死亡率也较低。
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| 关 键 词： | 心力衰竭 左室射血分数正常的心力衰竭 |
The clinical features of heart failure with normal ejection fraction |
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| DENG Yang-chun.The clinical features of heart failure with normal ejection fraction[J].Journal of Chongqing Medical University,2011,36(7). |
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| Authors: | DENG Yang-chun |
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| Institution: | DENG Yang-chun(Department of Internal Medicine,the Affiliated Hospital of Yongzhou Vocational and Technical College in Hunan Province) |
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| Abstract: | Objective:To investigate the clinical characteristics of heart failure with normal ejection fraction(HFNEF).Methods:From January 2009 to December 2009,91 patients in our hospital with chronic heart failure were enrolled.According to a 2007 European Society of Cardiology expert consensus,HFNEF were diagnosed.The patients were given anti-heart failure therapy and at least 1-year follow-up.Results:A total of 48 patients had ejection fraction >50% of the HFNEF(52.7%) in 91 patients.Compared with heart failure w... |
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| Keywords: | heart failure heart failure with normal ejection fraction |
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