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|本期目录/Table of Contents|

肺静脉血流在二尖瓣血流表现为假正常时的应用(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2002年第1期
页码:
61-63
栏目:
论著
出版日期:
2002-01-01

文章信息/Info

Title:
The value of pulmonary venous flow pattern in essential hypertens iveinsufficiency when mitral flow pattern showed pseudonormalization
作者:
方建群1;  梅运丽1;  黄　睿1;  游树荣2;  陈树兰3
宁夏医学院附属医院: 1. 综合科, 2. 超声心动图室, 3. 心血管研究所, 宁夏 银川 750004
Author(s):
FANG Jian-qun; MEI Yun-li;  HUANG Rui;  YOU Shu-rong ;  CHEN Shu-lan
Affiliated hospital of Ninxia Medical University, Yinchuan Ninxia 750004, China
关键词:
超声心动描记术;  多谱勒;  肺静脉血流频谱;  二尖瓣血流频谱;  假正常;  心室功能
Keywords:
echocardiography;  Doppler;  pulmmonary venous flow pattern;  mitral flow pattern; pseudonor malization;  ventricular function
分类号:
R544.1; R540.5　
DOI:
-
文献标识码:
A
摘要:
目的 探讨高血压病心功能障碍患者二尖瓣血流频谱(MFP) 表现为假正常时, 肺静脉血流频谱(PV FP) 的诊断价值。方法: 采用Doppler 超声心动图检测78例高血压病并有不同程度心功能障碍患者的PVFP 及MFP, 寻找敏感而可靠的指标。结果 MFP 表现为假正常者共23例, PVFP 的检出率分别为: PA d>Ad= 83% , SF<0.55=74% , S/D<1= 65%。结论 高血压心功能障碍患者M FP 表现为假正常时, S/D 比值, SF及PAd- Ad 是评价不同程度心功能障碍较敏感、可靠的指标, 其中PAd> Ad 最为敏感, 可作为鉴别真性与假性正常的可靠指标。
Abstract:
AIM To study the walue of pulmmonary venous flow pattern (PVFP) in essential hypertensive (EH) patients with cardiac in sufficiency (CI) when mitral flow pattern (MFP)showed pseudonormalization. METHODSPV FP and MFP were obtained with HP-2500 multiple functional echocardiograph in 78 clinically diagnosed EH patients with CI. RESULTS There were 23 cases whose MFP showed pseudonormalization. The parameters of PVFP among them were exhibited as : ① PAd> Ad = 83%; ②SF< 0. 55 = 74%; ③S/D < 1 = 65%. CONCLUSION S/D ,SF and PAd-Ad were more sensitive and reliable for the evaluation of CI. PAd> Ad was themost sensitive when MFP showed pseudonormalization.

参考文献/References

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[2]Schwengel RH, Hawke MW , Fisher ML. Abnormal valsalva blood pressure response in dilated cardiomyopathy: Association with “pseudonormaliation” of echocardiographic Doppler transmitral filling velocity pattern [J]. Am Heart J , 1993, 126:1182.

[3] Arakawa M, Akamatsu S, Terazawa E, et al. Age-relatedincrease in systolic of pulmonary vein flow velocity-time integral from transesophageal Doppler echocardiography in subjects without cardiac disease [J]. Am J Cardiol, 1992, 70: 1190 -1194.

[4] Appleton CP, Hatle LK, Popp RL , et al. Estimation of left ventricular filling pressures using two-dimensional and Doppler echocardiography in adult patients with cardiac disease [J]. J Am Coll Cardiol, 1993, 22: 1972- 1982.

[5] Nishimura RA , Abel MD, Hatle LK, et al. Relation of pulmonary vein to mitral flow velocities by transesophageal Doppler echocardiography [J]. Circulation, 1990, 81: 1488 -1497.

[6]Matsuda Y, Yoma Y,Matsuzaki M , et al. Change of left atrialsystolic pressure wave form in relation to left ventricular end-diastolic pressure[J]. Circulation, 1990, 82: 1659- 1667.

[7] Rossvol O, Hatle LK. Pulmonary venous flow velocities recorded by transthoracic Doppler ultrasound: Relation of left ventricular diastolic pressures[J]. J Am Coll Cardiol, 1993, 21:1687- 1696.

备注/Memo

备注/Memo:
收稿日期：2000-10-31.
更新日期/Last Update: 2002-01-01