CAJ | 학술논문

目的研究老年高血压病左心室构型与房颤的关系. 方法按超声心动图左心室构型Ganau分类方法,将老年高血压病患者分为四组:几何构型正常(NG)组、向心性重构(CR)组、向心性肥厚(CH)组、离心性肥厚(EH)组,比较四组房颤发生率. 结果与NG组比较,CR组、CH组和EH组的房颤发生率显著增加(P<0.05);与CR组比较,CH组和EH组的房颤发生率显著增加(P<0.05); EH组房颤发生率比CH组显著增加(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)对房颤发生的影响最大.结论老年高血压病随左心室不断重构,房颤发生率逐渐增高, 在离心性肥厚构型时房颤发生率最高, 其中LVEDD和房颤发生相关性最大.
목적 연구노년고혈압병좌심실구형여방전적관계. 방법 안초성심동도좌심실구형Ganau분류방법,장노년고혈압병환자분위사조:궤하구형정상(NG)조、향심성중구(CR)조、향심성비후(CH)조、리심성비후(EH)조,비교사조방전발생솔. 결과 여NG조비교,CR조、CH조화EH조적방전발생솔현저증가(P<0.05);여CR조비교,CH조화EH조적방전발생솔현저증가(P<0.05); EH조방전발생솔비CH조현저증가(P<0.05).근거다인소Logistic회귀분석,좌심실구형중서장말기좌실내경(LVEDD)대방전발생적영향최대.결론 노년고혈압병수좌심실불단중구,방전발생솔축점증고, 재리심성비후구형시방전발생솔최고, 기중LVEDD화방전발생상관성최대.
Objective To study the relationship between left ventricular geometry and atrial fibrilla-tion in aged patients with essential hypertension.Methods According to the Ganau classification of left ventricular geometry, the elderly patients with essential hypertension were divided into four groups: normal geometry(NG) group,concentric remodeling (CR) group, concentric hypertrophy (CH) group and eccentric hypertrophy (EH) group.Results Compared with NG group, CR group, CH group and EH group were significantly increased (P<0.05); the incidence of atrial fibrillation in group CH and EH were significantly increased (P<0.05), P<0.05 group was significantly higher than EH group (CH). According to the multiple Logistic regression analysis, the effect of left ven-tricular end diastolic diameter(LVEDD) on the occurrence of atrial fibrillation was the most in the left ventricular configuration.Conclusions Elderly hypertension with left ventricular remodeling, the incidence of atrial fibrillation increased gradually, and the incidence of atrial fibrillation was the highest in eccentric hypertrophy. The correlation between LVEDD and AF was the highest.