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|本期目录/Table of Contents|

脉冲多普勒超声心动图评价糖尿病患者的左室舒张功能(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
1995年第1期
页码:
36-38
栏目:
论著
出版日期:
1995-01-01

文章信息/Info

Title:
Pulsed Doppler echocardiographical assessment of ventricular diastoloc function in 46 cases of diabetes mellitus
作者:
王世伟 鲍百丽 齐 济 李淑忠 孙 军
锦州市中心医院内科 锦州 121001
Author(s):
Wang Shiwei; Bao Baili; Qi Ji; et al
Department of Internal Medicine，Jinzhou Central Hospital，Jinzhou 121001
关键词:
脉冲多普勒超声心动图; 糖尿病; 左室舒张功能
Keywords:
pulsed Doppler echocardiography; diabetes mellitus; left ventricular diastolicfunction．
分类号:
-
DOI:
-
文献标识码:
-
摘要:
本文应用脉冲多普勒超声心动图评价无心脏病或充血性心力衰竭临床表现的46例糖尿病患者左室舒张功能．并与45例健康人对比，发现糖尿病患者的峰值速度E，峰值速度E与峰值速度A之比及二盈分数值明显低于对照组，而峰值速度A和等容舒张时间值则明显高于对照组，两组差异非常显著(P<0.01)。结果表明糖尿病患者左室舒张功能下降，主要为左室舒缓性减退，提示舒张早期左室充盈障碍和舒乏晚期左室顺应性下降。
Abstract:
Left ventricular diastolic function(LVDF)determined by pulsed Doppler echocardiography(PDE)in 46 cases of diabetes mellitus(DM)without clinical evidence of heart disease or congestive heart failure．The other 45 healthy subjects were used as controls．We found peak flow velocity at early diastole(PVE)，the ratio of PVE to peak flow velocity at atrial contraction(PVA)，and the values of filling fractiion(FF)were lower in the DM group than in the control group．The values of PVA and isometric relaxation time(IRT)were higher than those of the control group．Differences between the two groups were significant．(P<0.01)．The result showed that the LVDF of DM was in depression，characterictic of decreased left ventricular relaxation，suggesting impaired left ventricular compliance at late diastole.reperfusion injury.

参考文献/References

［1］Sandersen JE，et a1．Diabetic cardiomyopathy?An echocardiographic study of young diabeticS．Br M ed J 1978；1：404.

［2］Shapiro LM，et al．Left ventricular function in diabetes mellitus：Ⅱ．Relation between clinical features and left ventricular function．Br Heart J 1981；45：129.

［3］Shapiro LM．Echocardiographic features of impaired yentricular function in diabetes mellitus．Br Heart J 1982；47：439.

［4］ Airaksinen J，et al．Impaired left ventricular filling in young female diabetics．Acta Med Scand 1984；216：509.

［5］ Joel KK，et a1．Radionuclide assessnlent of left ventricular diastolic filling in diabetes mellitus with and without cardiac autonomic neuropathy．JACC 1986；7：1303.

［6］Takenaka K，tt a1．Left ventricular filling determined by Doppler echocardiography in diabetes mellitus．Am J Cardiot 1988；61：1140.

备注/Memo

备注/Memo:
Received 1993-03-12；revised 1994-11-25
更新日期/Last Update: 1995-01-01