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糖尿病对冠状动脉狭窄左室舒张末压的影响(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2005年第6期
页码:
570-572
栏目:
临床研究
出版日期:
2005-12-05

文章信息/Info

Title:
Impact of diabetes mellitus on left ventricular enddiastolic pressure of patients with coronary artery stenosis
作者:
汤沂 江时森 黄浙勇
南京军区南京总医院/南京大学医学院临床学院心血管内科, 江苏 南京 210002
Author(s):
TANG Yi JIANG Shisen HUANG Zheyong
Department of Cardiology, Jinling Hospital/ Clinical School of Medical College, Nanjing University, Nanjing, Jiangsu 210002,China
关键词:
左室射血分数左室舒张末压左室造影糖尿病
Keywords:
left ventricular ejection fraction left ventricular enddiastolic pressure left ventricular angiography diabetes mellitus.
分类号:
R543.3
DOI:
-
文献标识码:
A
摘要:
目的 探讨糖尿病对冠状动脉狭窄患者左室舒张末压的影响。方法 选择行冠状动脉造影及左室造影的冠脉狭窄的患者662例,将之分为冠状动脉狭窄并发糖尿病组(CHD+DM组)110例,及单纯冠状动脉狭窄组(CHD组)552例,所有患者都进行左室造影,测定左室射血分数(LVEF)及左室舒张末压(LVEDP)。结果 两组患者LVEF间无明显差异,但 CHD+DM组患者的LVEDP显著高于CHD组。结论 糖尿病可以加重冠状动脉狭窄对左室舒张功能的损害,引起LVEDP增高。
Abstract:
AIM To study the impact of diabetes mellitus on left ventricular enddiastolic pressure of patients with coronary artery stenosis. METHODS Among the recruited 662 patients with significant coronary artery stenosis, 110 patients were complicated with diabetes mellitus (CHD+DM group) and 552 patients without diabetes (CHD group). All patients were examined using left ventricular angiography. Ejection fraction (LVEF) and enddiastolic pressure of left ventricular (LVEDP) were measured. RESULTS LVEDP in patients of CHD+DM group was significantly higher than that in CHD group, while there was no significant difference in LVEF between two groups. CONCLUSION Diabetes mellitus aggravates the ventricular function of patients with coronary artery stenosis, especially the diastolic function, which can result in the increasing of LVEDP.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期:2004-07-30.通讯作者:江时森,主任医师,博导,主要从事心脏病介入诊 断治疗、心肌衰竭、高血压等方面的研究,Tel:(025)80860122 作者简介:汤沂,硕士生Tel:(025)80860022 Email:ty573@sina.com
更新日期/Last Update: 2010-01-06