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|本期目录/Table of Contents|

两种超声心动图诊断老年慢性心功能衰竭标准的评价与比较(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2007年第5期
页码:
556-558
栏目:
临床研究
出版日期:
2007-10-01

文章信息/Info

Title:
Evaluation and comparison of ESC criteria and Chinese criteria of echocardiogram in diagnosing chronic heart failure in elderly patients
作者:
亓鹏; 马文敏; 赵敏; 马慧珍; 王斌; 谭红艳
解放军306医院干部病房，北京 100101
Author(s):
QI Peng;  MA Wenmin;  ZHAO Min;  MA Huizhen;  WANG Bin;  Tan Hongyan
Cadre’s Ward, PLA 306th Hospital, Beijing 100101, China
关键词:
超声心动图; 老年; 心功能衰竭; 慢性
Keywords:
echocardiogram; elderly; heart failure; chronic
分类号:
R540.45
DOI:
-
文献标识码:
A
摘要:
目的 评价不同超声心动图标准诊断老年慢性心力衰竭(CHF)的价值。方法 按照NYHA临床心功能分级，心功能Ⅰ级的31例患者作为心功能正常组，心功能Ⅱ到Ⅳ级的288例患者作为CHF组。以左室射血分数（LVEF）和左室舒张早期与晚期血流速度比值（E/A）作为指标，对欧洲心脏病学会(ESC)及我国以往超声诊断心衰标准对老年临床CHF的诊断价值进行评价。结果 欧洲心脏病学会及我国以往超声标准诊断老年临床CHF的价值分别为:灵敏度44% vs 83%(P<0.01),特异度100% vs 81%(P<0.05)，准确度49% vs 83%(P<0.01)。结论 国内既往超声心动图的诊断标准较ESC标准可提高对中国老年CHF的检出率，与NYHA分级符合率高。有利于老年CHF患者的早发现、早诊断和早干预。
Abstract:
AIM To evaluate the diagnostic value of European Society of Cardiology (ESC) criteria and Chinese criteria for echocardiogram in the elderly CHF. METHODS Thirtyone patients with NYHA class Ⅰ served as normal group and 288 patients with NYHA class ⅡⅣ as heart failure group. The ages of the subjects were≥60 years old. The left ventricular ejection fraction（LVEF), the transmitral peak rapid fillingvelocity (E), peak atrial filling velocity (A) and the E/A ratio were taken as echocardiogram parameters to evaluate and compare the diagnostic value of ESC criteria and Chinese criteria in elderly CHF patients. RESULTS The sensitivity, specificity and accuracy of ESC criteria and Chinese criteria were respectively 44% vs 83% (P<0.01), 100% vs 81% (P<0.05) and 49% vs 83% (P<0.01) in diagnosing elderlyCHF. CONCLUSION SCompared with ESC criteria, Chinese echocardiogram criteria of elderly CHF has a higher diagnostic rate, which helps early diagnosis and treatment of CHF in elderly patients.

参考文献/References

［1］Hunt SA, Abraham WT, Chin MH, et al. ACC/AHA 2005 Guideline Update for the Diagnosis and Management of Chronic Heart Failure in the Adult-Summary Article: A Report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Update the 2001 Guidelines for the Evaluation and Management of Heart Failure): Developed in Collaboration With the American College of Chest Physicians and the International Society for Heart and Lung Transplantation: Endorsed by the Heart Rhythm Society［J］. Circulation, 2005,112(12): 1825-1852.

［2］Swedberg K, Cleland J, Dargie H, et al. Guidelines for the diagnosis and treatment of chronic heart failure: executive summary (update 2005): The Task Force for the Diagnosis and Treatment of Chronic Heart Failure of the European Society of Cardiology［J］. Eur Heart J,2005,26(11):1115-1140.

［3］顾菊康，邓开伯，陈灏珠，等．临床心功能学［M］．安徽：安徽科学技术出版社,1992:358-368.

［4］李文广，杨俊芬，屠洪，等.左室舒张功能对判定老年慢性心功能不全的临床意义［J］.中国老年学杂志，2005,25(4):400-401.

［5］李越.舒张功能的超声心动图评估［J］.中华老年多器官疾病杂志，2006, 5(2):90-92.

备注/Memo

备注/Memo:
收稿日期：2007-04-15.通讯作者：亓鹏，主任医师，主要从事老年心血管疾病的研究Email：qip306＠yahoo.com.cn
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