广东医学
廣東醫學
엄동의학
GUNAGDONG MEDICAL JOURNAL
2009年
12期
1812-1815
,共4页
傅锐斌%吴平生%吴书林%邱健%饶芳%杨平珍%詹贤章%方成宏%薛玉梅%廖洪涛
傅銳斌%吳平生%吳書林%邱健%饒芳%楊平珍%詹賢章%方成宏%薛玉梅%廖洪濤
부예빈%오평생%오서림%구건%요방%양평진%첨현장%방성굉%설옥매%료홍도
阵发性心房纤颤%高血压%左心房直径%室间隔厚度%二尖瓣返流
陣髮性心房纖顫%高血壓%左心房直徑%室間隔厚度%二尖瓣返流
진발성심방섬전%고혈압%좌심방직경%실간격후도%이첨판반류
paroxysmal atrial fibrillation%hypertension%left atrial diameter%interventrieular septum dimension%mitrial reguigitation
目的 研究高血压合并阵发性房颤患者左右心房内径、室间隔厚度、左心室内径和左室射血分数的变化及与高血压患者房颤发生的关系.方法 高血压合并阵发性房颤患者41例和单纯性高血压患者45例.经胸心脏超声测量两组患者收缩期左房前后径(Lad)和右房上下径(Rad)、舒张期左室内径(LVIDd)和室间隔厚度(IVSd)、左室射血分数(LVEF)与有无明显的二尖瓣返流(MR),所有房颤患者在窭性心律下做超声测量.结果 单纯性高血压患者相比,高血压合并阵发性房颤患者Lad(mm)和IVSd(mm)显著增大(Lad:36.1±5.8 vs 31.0±3.9,P<0.00l;IVSd:10.7±1.3 vs 9.9±1.5,P=0.001),MR发生率显著增高(52.5% vs 11.1%,P<0.001).两组Rad、LVIDd和LVEF差异均无显著性,其中两组Rad(mm)为46.4±7.1 vs 44.0±4.0(P=0.065).Logistic回归分析显示,Lad、IVSd和MR发生率均与高血压患者房颤发生有显著性关联[OR(95% CI):Lad,1.375(1.135～1.665);IVSd,1.98(1.183～3.313);MR,4.708(1.126～19.685)].结论 高血压合并阵发性房颤患者较单纯性高血压患者左心房显著扩大、室间隔显著增厚和二尖瓣返流发生率显著增高,这三者是高血压患者发生房颤的预测因素.
目的 研究高血壓閤併陣髮性房顫患者左右心房內徑、室間隔厚度、左心室內徑和左室射血分數的變化及與高血壓患者房顫髮生的關繫.方法 高血壓閤併陣髮性房顫患者41例和單純性高血壓患者45例.經胸心髒超聲測量兩組患者收縮期左房前後徑(Lad)和右房上下徑(Rad)、舒張期左室內徑(LVIDd)和室間隔厚度(IVSd)、左室射血分數(LVEF)與有無明顯的二尖瓣返流(MR),所有房顫患者在窶性心律下做超聲測量.結果 單純性高血壓患者相比,高血壓閤併陣髮性房顫患者Lad(mm)和IVSd(mm)顯著增大(Lad:36.1±5.8 vs 31.0±3.9,P<0.00l;IVSd:10.7±1.3 vs 9.9±1.5,P=0.001),MR髮生率顯著增高(52.5% vs 11.1%,P<0.001).兩組Rad、LVIDd和LVEF差異均無顯著性,其中兩組Rad(mm)為46.4±7.1 vs 44.0±4.0(P=0.065).Logistic迴歸分析顯示,Lad、IVSd和MR髮生率均與高血壓患者房顫髮生有顯著性關聯[OR(95% CI):Lad,1.375(1.135～1.665);IVSd,1.98(1.183～3.313);MR,4.708(1.126～19.685)].結論 高血壓閤併陣髮性房顫患者較單純性高血壓患者左心房顯著擴大、室間隔顯著增厚和二尖瓣返流髮生率顯著增高,這三者是高血壓患者髮生房顫的預測因素.
목적 연구고혈압합병진발성방전환자좌우심방내경、실간격후도、좌심실내경화좌실사혈분수적변화급여고혈압환자방전발생적관계.방법 고혈압합병진발성방전환자41례화단순성고혈압환자45례.경흉심장초성측량량조환자수축기좌방전후경(Lad)화우방상하경(Rad)、서장기좌실내경(LVIDd)화실간격후도(IVSd)、좌실사혈분수(LVEF)여유무명현적이첨판반류(MR),소유방전환자재구성심률하주초성측량.결과 단순성고혈압환자상비,고혈압합병진발성방전환자Lad(mm)화IVSd(mm)현저증대(Lad:36.1±5.8 vs 31.0±3.9,P<0.00l;IVSd:10.7±1.3 vs 9.9±1.5,P=0.001),MR발생솔현저증고(52.5% vs 11.1%,P<0.001).량조Rad、LVIDd화LVEF차이균무현저성,기중량조Rad(mm)위46.4±7.1 vs 44.0±4.0(P=0.065).Logistic회귀분석현시,Lad、IVSd화MR발생솔균여고혈압환자방전발생유현저성관련[OR(95% CI):Lad,1.375(1.135～1.665);IVSd,1.98(1.183～3.313);MR,4.708(1.126～19.685)].결론 고혈압합병진발성방전환자교단순성고혈압환자좌심방현저확대、실간격현저증후화이첨판반류발생솔현저증고,저삼자시고혈압환자발생방전적예측인소.
Objective To investigate the differences of echocardiographic indices between the hypertensive patients with and without AF.Tb explore the relationship of these indices with the development of AF in hypertensive patients.Methods Totally 41 hypertensive patients with AF and 45 sex-,age-and risk faetors-matched hypertensive patients without AF were enrolled.The age for the two groups was 59.6±11.4 and 57.1±9.2 years old.respectively.All patients underwent transthoracie echocardiography assessment of left atrial anterior-posterior dimension(Lad),right atrial upper-inferior dimension(Rad),interventricle septum dimension(IVSd),left ventrieular diameter(LVIDd),left ventricular ejection fraction(LVEF)and qualitative assessment of mitrial regurgitation(MR).Results Hypertensive patients with AF had higher Lad and IVSd(1ad:36.1±5.8 vs 31.0±3.9mm,P<0.001;IVSd:10.7±1.3 vs 44.0±4.0mm,P=0.001),and higher MR incidence(52.5% vs 11.1%,P<0.001)compared with those without AF.No significant differences in Rad,LVIDd and LVEF were found between the two groups. By muhivariable analysis,Lad,IVSd and MR incidence were founded to be independent risk factor of AF development in hypertensive patients with the OR(95%CI)being 1.375(1.135～1.665),1.98(1.183～3.313)and4.708(1.126～19.685),respectively.Conclusion The combination of AF contributes to increase of Lad,IVSd and MR incidenee,each of which was associated with the development of AF in hypertensive patients.
