CAJ | 학술논문

目的：探讨高血压病患者左心室构型与心房纤颤的影响.方法：选择原发性高血压患者3671例,按超声心动图 Ganau分类方法再将高血压患者分为四组：左心室几何构型正常组(NG组,1468例),左心室向心性重构组(CR组,324例),左心室向心性肥厚组(CH 组,792例),左心室离心性肥厚组(EH 组,1087例).结果：与NG比较,CR组、CH 组和EH 组的房颤发生率明显增加(P＜0．05)；与CR组比较,CH 组和EH 组的房颤发生率明显增高(P＜0．05)；EH 组房颤发生率值比CH 组明显提高(P＜0．05).根据多因素 Logistic回归分析,左心室构型中舒张末期左室内径(LVEDD)和房颤发生率的相关性最密切.结论：原发性高血压患者房颤发生率随左心室几何构型的进展逐渐延提高,在左心室肥厚患者增加最为明显,其中 LVEDD和房颤的相关性最大.
목적：탐토고혈압병환자좌심실구형여심방섬전적영향.방법：선택원발성고혈압환자3671례,안초성심동도 Ganau분류방법재장고혈압환자분위사조：좌심실궤하구형정상조(NG조,1468례),좌심실향심성중구조(CR조,324례),좌심실향심성비후조(CH 조,792례),좌심실리심성비후조(EH 조,1087례).결과：여NG비교,CR조、CH 조화EH 조적방전발생솔명현증가(P＜0．05)；여CR조비교,CH 조화EH 조적방전발생솔명현증고(P＜0．05)；EH 조방전발생솔치비CH 조명현제고(P＜0．05).근거다인소 Logistic회귀분석,좌심실구형중서장말기좌실내경(LVEDD)화방전발생솔적상관성최밀절.결론：원발성고혈압환자방전발생솔수좌심실궤하구형적진전축점연제고,재좌심실비후환자증가최위명현,기중 LVEDD화방전적상관성최대.
Objective:To investigate the effect of left ventricular(LV)geometric model To atrial fibril ation(AF)in patients with essential hypertension(EH).Methods:3671 patients with EH were enrol ed.According to Ganau categories,these patients were divided into four groups:normal LV geometric model(NG group,1468 cases),con-centric remodeling(CR group,324 cases),concentric hypertrophy(CH group,792 cases)and eccentric hypertrophy(EH group,1087 cases).Result:Compared with NG groups,the incidence of AF in other three groups were al higher.Compared with CR groups,the incidence of AF of CH group and EH group were both higher(P<0.05). There was significant difference between CH group and EH group(17.0% vs21.8% P<0.05).According to Logistic regression Multiple-factors analysis,The strongest correlation between AF and the component of LV geometric model is Left ventricular end diastolic diameter(LVEDD).Conclusion:The incidence of AF in patients with EH is increased fol owing the developing of LV geometric model.It is obviously longer in patients with LV hypertrophy,LVEDD is the strongest correlation sign between AF and LV geometric model.