高血压病患者左室充盈类型与几何形态及功能变化评价

中国临床药理学与治疗学 ›› 2005, Vol. 10 ›› Issue (8): 894-897.

高血压病患者左室充盈类型与几何形态及功能变化评价

蔡平, 杨石康¹

福建医科大学附属协和医院心内科, 福州 350001, 福建;
¹霞浦县医院彩超室, 霞浦 355100, 福建

收稿日期:2005-05-28 修回日期:2005-07-14 发布日期:2020-11-22
通讯作者: 蔡平,女,硕士,副主任医师,研究方向:高血压病的基础和临床研究。Tel:(0)13609560920 E-mail:caiping@medmail.com.cn

Correlation between left ventricular filling type and geometry modality and functional change of left ventricle in patients with hypertension

CAI Ping, YANG Shi-kang¹

Department of Cardiology, Fujian Medical University Affiliated Union Hospital, Fuzhou 350001, Fujian, China;
¹Department of Ultrasound, Xiapu Hospital, Xiapu 355100, Fujian, China

Received:2005-05-28 Revised:2005-07-14 Published:2020-11-22

摘要/Abstract

摘要： 目的: 探讨高血压病患者左室充盈类型与左室几何形态及功能变化之间的关系。方法: 采用二维、M型和多普勒超声心动图方法测定120例高血压病患者的心脏收缩功能指数:短轴缩短率(FS)、左室射血分数(EF)及舒张功能指数:二尖瓣血流频谱E峰、A峰、加速时间(EAT)、减速时间(EDT)、EA比值、等容舒张时间(IVRT)等。结果: 本研究中有83.5%高血压病患者出现确定的左室肥厚及心室重构,有84%高血压病患者出现左室充盈功能异常。不同左室充盈类型的形态学指标及不同左室形态的充盈指标比较均有显著差异。结论: IVRT是确定左室充盈功能更重要的指标。左室重量指数的增加更为严重地影响左室充盈功能。

关键词: 超声心动图检查, 高血压, 左室充盈类型, 左室几何形态, 功能

Abstract: AIM: To investigate the correlation between the left ventricular filling type and geometry modality and functional change of the left ventricle in patients with hypertension.METHODS: Systolic function indexes (FS and EF) and diastolic function indexes (E, A, EAT, EDT, E A, IVRT) in 120 patients with hypertension were measured by two dimensional ultrasonography (2-DUS) and M-mode and Doppler ultrasound.RESULTS: A rate of 83.5% in patients with hypertension appeared assured plump and configuration changes of left ventricle, and a rate of 84%in patients with hypertension appeared abnormal left ventricular filling function.The morphologic indexes were significantly different clearly in different left ventricular filling types, and the filling indexes were also significantly different in diferent left ventricular shapes.CONCLUSION: IVRT is a more important index than other factors to decide the left ventricular filling function.LVMI plays more important role than other factors in the left ventricular filling function.

Key words: echocardiography, hypertension, left ventricular filling type, geometry modality of the left ventricleconfiguration

中图分类号:

R454.3

蔡平, 杨石康. 高血压病患者左室充盈类型与几何形态及功能变化评价[J]. 中国临床药理学与治疗学, 2005, 10(8): 894-897.

CAI Ping, YANG Shi-kang. Correlation between left ventricular filling type and geometry modality and functional change of left ventricle in patients with hypertension[J]. Chinese Journal of Clinical Pharmacology and Therapeutics, 2005, 10(8): 894-897.

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