林庆民,钱菁,韩兆凤,何还珠.左房压力波传递时间评价高血压患者左室舒张功能[J].中国医学影像技术,2000,16(3):0206~208
左房压力波传递时间评价高血压患者左室舒张功能
Evaluation of Left Ventricular Diastolic Function among HypertensivePatients Using Transit Time of the Left Atrial Pressure Wave
投稿时间:1999-09-01  
DOI:
中文关键词:  左室构型  高血压  左房压力波传递时间
英文关键词:Left ventricular geometric patterns  Hypertension  A-Ar internal
基金项目:
作者单位
林庆民 上海华东医院超声诊断科,上海200040 
钱菁 上海华东医院超声诊断科,上海200040 
韩兆凤 上海华东医院超声诊断科,上海200040 
何还珠 上海华东医院超声诊断科,上海200040 
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中文摘要:
      目的 用左房压力波传递时间评价不同构型高血压患者的左室舒张功能。方法 对103 例高血压患者 进行M 型、二维和脉冲多普勒超声检查,根据左室重量及相对室壁厚度分成四种不同构型,比较四组间A-Ar 间期。 结果 在103 例原发性高血压患者中,检出正常构型者49 例,占47157 %;向心性重构者30 例,占29113 ;向心性肥 厚者9 例,占8174 %;偏心性肥厚者15 例,占14156 %。四组间偏心性肥厚A-Ar 间期最短,依次为向心性肥厚、向心 性重构、正常构型,呈单向变化,各组间有差异( P < 0105) 。结论 不同左室构型的高血压患者A2Ar 间期有所差别, 并提示偏心性肥厚、向心性肥厚的左室舒张功能受损最为严重。
英文摘要:
      Objective To evaluate the left ventricular diastolic function of hypertensive patients with different left ventricular geometry ,using transit time of the left atrial pressure wave (A-Ar interval) . Methods 103 patients were studied by M-Mode ,two-dimensional and pulsed Doppler echocardiography. The patients were divided into four types ,according to the left ventricular mass and relative wall thickness. Results There were 47157 %patients with normal 30 % with concentric remodeling ,8174 % with concentric hypertrophy and 14156 % with eccentric hypertrophy. The A-Ar interval of the eccentric hypertrophy is the shortest ,the second is concentric hypertrophy ,the third is concentric remodeling and the last is normal. Each of them has significant difference. Conclusion Left ventricular geometric had effect on diastolic function of the hypertensive patients.
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