| 节段性室壁运动异常对扩张型心肌病预后的影响 |
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| 引用本文： | 蓝荣芳,徐伟,吉文庆,余洪松,徐标. 节段性室壁运动异常对扩张型心肌病预后的影响[J]. 临床心血管病杂志, 2011, 27(2) |
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| 作者姓名： | 蓝荣芳 徐伟 吉文庆 余洪松 徐标 |
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| 作者单位： | 南京大学医学院附属鼓楼医院心脏科,南京,210008 |
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| 摘 要： | 目的:了解扩张型心肌病(DCM)患者节段性室壁运动异常(SWMA)现象,并研究SWMA对DCM患者预后的影响。方法:收集明确诊断的DCM患者75例。经过心脏彩超检查分为普遍运动减弱(GH)组(39例)和SWMA组(36例)。通过随访比较2组预后的差异。结果:与GH组相比,SWMA组左室扩大更明显[左室舒张末期内径:(72±6)∶(68±5)mm,P<0.01],心功能减退更严重[左室射血分数:(31±6)%∶(36±5)%,P<0.01];SWMA者与GH者比较,无心脏事件累积生存率差异有统计学意义(P<0.01);SWMA是DCM患者预后的独立危险因素。结论:DCM可以引起SWMA,SWMA是DCM患者预后不良的指标之一。
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| 关 键 词： | 心肌病 扩张型 节段性室壁运动异常 |
Prognosis value of segmental wall motion abnormality in dilated cardiomyopathy |
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| LAN Rongfang,XU Wei,JI Wenqing,YU Hongsong,XU Biao. Prognosis value of segmental wall motion abnormality in dilated cardiomyopathy[J]. Journal of Clinical Cardiology, 2011, 27(2) |
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| Authors: | LAN Rongfang XU Wei JI Wenqing YU Hongsong XU Biao |
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| Affiliation: | LAN Rongfang XU Wei JI Wenqing YU Hongsong XU Biao(Department of Cardiology,Nanjing Drum Tower Hospital The Affiliated Hospital of Nanjing University Medical School,Nanjing,210008,China) |
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| Abstract: | Objective:To explore the phenomenon of segmental wall motion abnormality(SWMA)in dilated cardiomyopathy(DCM)and its effect on the prognosis of DCM.Method:Seventy-five DCM was grouped into 39 with global hypokinesis(GH) and 36 with SWMA by ultrasound cardiogram.The prognosis of these two groups was compared.Result:Comparing with GH group,patients with SWMA had larger left ventricular end-diastolic diameters(LVEDd,mm vs mm,P<0.01) and lower LV ejection fractions(% vs %,P<0.01).Cumulative event-free survival r... |
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| Keywords: | dilated cardiomyopathy regional wall motion abnormality |
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