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左室射血分数下降危险因素的探讨(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
1998年第3期
页码:
160-162
栏目:
论著
出版日期:
1998-05-01

文章信息/Info

Title:
Investigation of risk factors in 95 patients with decreasing ejection fraction
作者:
张美芳　楼福庆
浙江医科大学附属二院心脑血管病研究所　杭州 310009
Author(s):
Zhang Meifang ; Lou Fuqing
Institute of Cardiocerebrovascular Diseases, Second Affiliated Hospital, Zhejiang Medical University, Hangzhou 310009
关键词:
射血分数　心脏功能试验　外周阻力
Keywords:
ejection fraction 　cardiac function test　peripheral resistance
分类号:
-
DOI:
-
文献标识码:
-
摘要:
应用无创左右心功能同步检测仪测定左室射血分数(EF)下降患者95例的心脏功能, 并与39例EF正常者比较。EF下降组的每搏出量、每搏指数均较正常组显著下降, 病因以心肌炎、高血压病和冠心病为主, 男性多于女性。在冠心病、高血压病、肺源性心脏病、风湿性心脏病和心肌炎等常见心血管疾病中, 总阻抗均较对照组为高(P< 0.01) , 总阻抗升高是患者EF下降的主要因素。总阻抗升高的原因除冠心病、高血压病的病因外, 尚有血液粘度和精氨酸加压素浓度增高等因素。我们认为应用无创左右心功能同步检测仪测定不仅有助于了解冠心病、高血压病和心肌炎的病情, 而且对EF值下降的患者更具有重要意义, 以便经常观察治疗效果和判断预后。
Abstract:
By using a non-invasive synchronous ventricular function detector (N-ISVFD) , the cardiac function capacity in 95 patients with decreasing ejection fracton (EF) was determined,with 39 normal subjects as controls. The stroke volume(SV) and stroke index(SI) in patients with decreasing EF decreased significantly as compared with those in the normal group. This decrease was mainly due to myocarditis, essential hypertension (EH) and coronary heart disease (CHD).The incidence of decreasing EF was higher in male than in female. In patients with EH, CHD,pumonary heart disease, rheumatic heart disease and myocarditis, the five common cardiovascular diseases, the resistance to tal mean (RTM) was higher than in the normal subjects(P < 0.01).RTM was the main risk factor in 95 patients with decrasing EF. RTM increase was due to such factors as elevated blood viscosity, arginine vasopressin, in addition to EH and CHD.Our results suggest that the use of a N-ISVFD helps us not only to understand the severity in CHD, EH and myocarditis and in especial decreasing EF patients, but also to follow up survey of results of medicinal effect and prognosis.

参考文献/References

［1］Hammermeister KE,Derouen TA ,Dodge HJ , et al. Variables predictive of survival in patients with coronary disease. Circulation, 1979; 59: 421.

［2］张美芳, 俞　锋, 楼福庆, 等.高血压病患者的心功能评价.心功能杂志, 1996; 8 (3) : 153.

［3］张子彬, 刘炳德, 张玉传.心力衰竭.见: 陈国伟, 郑宗锷, 主编.现代心脏内科学.长沙: 湖南科学技术出版社, 1993: 590～ 630.

［4］朱妙章, 臧益民.心脏结构与功能.见: 侯应龙, 杜日映主编.现代心力衰竭诊断治疗学.北京: 人民军医出版社, 1997: 3～ 18.

［5］黄定九.心力衰竭时心泵功能与心脏作功, 见: 侯应龙,杜日映主编.现代心力衰竭诊断治疗学.北京: 人民军医出版社, 1997: 29～ 36.

［6］Gray S, Franci S. Heart Failure in 1991. Cardiology 1991; 78: 81～ 94.

[7] Burg MM , Jain D, Soufer R, et al. Role of behavioral and psychological factors in mental stress-induced silent left ventricular dysfunction in coronary artery disease.Am Coll Cardiol, 1993; 22: 440.

[8]马新亮, 朱妙章, 王跃民, 等.心交感神经反射在阻断冠脉血流后血液流变学变化中的作用.中国病理生理学杂志, 1989; 5 (5) : 274.

［9］Rector TS,Olivari MT ,Levine TB, et al. Predicting survival for an individual with congestive heart failure using plasma norepinephrine concentration. Am Heart J ,1987; 114: 148.

备注/Memo

备注/Memo:
(收稿1998-02-25　修回1998-05-12)
更新日期/Last Update: 1998-05-01