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老年高血压患者房性心律失常与左心结构和功能改变的关系(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
1996年第3期
页码:
145-148
栏目:
论著
出版日期:
1996-05-01

文章信息/Info

Title:
Atrial arrhythmia and its relationship with left ventricular structures and functions changes in senile hypertensive patients
作者:
郑　勇1　阮琴韵2　李维绥1　梁艳芳1
福建医学院附属一院　1内三科　2物诊科　福州　350005
Author(s):
Zheng Yong1;  Ruan Qinyun2;  Li Weisui1;  Liang Yanfang1
Cardiovascular Department, First Affiliated Ho spital of Fujian Medical College, Fuzhou 350005
关键词:
高血压病;  心律失常;  心室功能;  左;  心电描记术;  便携式;  超声心动描记术;  多普勒
Keywords:
hypertension;  arrhythmia;  ventricular function;  left;  electrocardiography; ambulatory;  echocardiography;  Doppler
分类号:
-
DOI:
-
文献标识码:
-
摘要:
作者应用超声心动图及多普勒超声检测不伴左室肥厚的51例老年高血压病患者左心结构和功能参数。以24 h 动态心电图房性早搏总数大于100 次和(或) 出现短阵房性心动过速(A组) 与房性早搏总数小于100 次(B组) 为标准, 将老年高血压患者分为A组(26例) 和B 组(25例)。结果: 左房内径、左室舒张末期内径、室间隔厚度、左室后壁厚度、室间隔/左室后壁之比两组无明显差异; 收缩功能指标EF和FS两组无明显差异。舒张功能参数PVA、PVE和PVA/PVE 两组也无明显差异。但A组总室性心律失常发生率高于B组(77% 对48% , P <0.05)。结果提示: 老年高血压非左室肥厚患者房性早搏或短阵房速的发生与左房内径等心脏结构和左心功能无明显关联。
Abstract:
The parameters of left ventricular (LV) functions and structures were measured by echocardiography and pulsed Doppler in 51 senile hypertensive patients without left ventricular hypertrophy (LVH).Atrial arrhythmias were considered significant if more than 100 premature beats and/or more than three successive premature beats were present during Holter′s monitoring. Significant atrial arrhythmias were found in 26 patients(GroupA) , not significant in 25 patients(Group B).Left ventricular mass index and body surface area were similar in the two groups. The results showed that there were no significant differences between the two groups in LAD, LVDd, IVST , PWT and IVST/ PWT , in systolic parameters(EF and FS) and diastolic parameters (PVA , PVE and PVA/ PVE). But the prevalence of total ventricular arrhythmias was higher in Group A than in Group B (76.9% vs 48.0% , P<0.05). It is suggested that atrial arrhythmias in hypertensive patients without LVH seems independent on LAD and LV functions.

参考文献/References

［1］Devereux RB, Casaaoe PN , Kligfield P, et al.Performance of primary and derived M-ode echocardiographic measurements for detection of left ventricular hypertrophy in necropsied subjects and in patients with systemic hypertension, mitral regurgitation and dilated cardiomyopathy. Am J Cardiol 1986; 57: 1388.

［2］Miller JT, Rourke RA , Crawford MH.Left atrial enlargement: An early sign of hypertensive heart disease.Am Heart J 1988; 116: 1048.

［3］Inouye I.Abnormal left ventricular filling: An early finding in mild to moderate systemic hypertension1.Am J Cardiol 1984; 53: 210.

［4］Breuillac JC, Babuty D, Charniot JC, et al.Prevalence of at rial arrhythmia in 48 hypertensive patients: research of predictive criteria.Arch Mal Coeur Vaiss 1992; 85 (8) : 1123.

［5］Nunez BD, L avie CJ , M esserli FH, et al.Comparison of diastolic left ventricular filling and cardiac dysrhythmias in hypertensive patients with and without isolated septal hypertrophy.Am J Cardiol 1994; 74 (6) : 585.

备注/Memo

备注/Memo:
Received 1995-08-28; revised 1996-02-22
更新日期/Last Update: 1996-05-01