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Graves病患者左心室射血力的研究(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
1999年第3期
页码:
173-174
栏目:
论著
出版日期:
1999-05-01

文章信息/Info

Title:
Study on the left ventricular ejection force in Graves disease patients
作者:
杨立勇1　阮琴韵2　陈济添2　王中心1　刘东晖1
1福建医科大学附属第一医院　1内分泌科　2物诊科　福州 350005
Author(s):
Yang Liyong1 ;  Ruan Qinyun2;  Chen Jitian2;  et al
The First Affiliated Hospital, Fujian Medical University, Fuzhou 350005
关键词:
Graves 病　左心室射血力　超声心动描记术
Keywords:
Graves disease　Left ventricular ejection　　force 　　Echocardiography
分类号:
-
DOI:
-
文献标识码:
-
摘要:
应用多普勒超声心动图对42例未经治疗无甲亢性心脏病的早期Graves病患者(A组)、21例伴甲亢性心脏病的晚期Graves病患者(B组)以及45例正常对照者(C组),检测其左心室射血力(F);同时测定EF,FS,SV,CO及CI等M型超声心动图左室收缩功能参数。结果显示,A组的F及其他参数均高于C组, 而B组各项参数均降低。多因素逐步回归分析表明, 与F相关的最重要变量是EF,其次为CI。本组资料提示, Graves病早期左室收缩功能增强而晚期减弱可能是此病的病理生理特征之一。F可作为评价Graves病患者左室收缩功能的较好参数。
Abstract:
The left ventricular(LV)ejection forces(F)were determined by Doppler echocardiography in 42 patients with early Graves disesae(GD)without hyperthyroid heart(group A,early hyperthyroidism) ,21 GD cases with hyperthyroid heart(group B,late hyperthyroidism) and 45 normal controls (group C).The other LV systolic parameters, such as EF,FS,SV,CO and CI were also measured by M-mode echocardiography. The results showed that F and other parameters of group A were higher than group C,whereas these parameters were lower in group B.Multifactor stepwise regression analysis showed that EF was the most important variable positively correlated with F, followed by CI. This data indicates that the early intensification and late decrease of LV systolic function might be one of the characters of pathophysiology in GD.F is a new better parameter for evaluating LV systolic function of GD patients.

参考文献/References

［1］Lazarus JH.Hyperthyroidism. Lancet,1997;349:339.

［2］ 贝政平,主编.3200个内科疾病诊断标准.北京:科学出版社,1996:154 .

［3］ Lioyd TR,Donnerstein RL.Afterload dependence of echocardiographic left ventricular ejection force determination.Am J Cardiol,1991;67:901.

［4］池芝盛编译.内分泌学基础与临床.北京:北京科学技术出版社,1992:157.

［5］Lsaaz K, Ethevenot G,Admant P,et al.A new Doppler method of assessing left ventricular ejection force in chronic congestive heart failure. Am J Cardiol,1989;64:81.

备注/Memo

备注/Memo:
(收稿1998-07-22)
更新日期/Last Update: 1999-05-01