PULMONARY-FUNCTION TESTS IN PATIENTS WITH CONGESTIVE-HEART-FAILURE - EFFECTS OF MEDICAL THERAPY

被引：36

作者：

FAGGIANO, P

LOMBARDI, C

SORGATO, A

GHIZZONI, G

SPEDINI, C

RUSCONI, C

机构：

[1] ST ORSOLA HOSP,DIV CARDIOL,BRESCIA,ITALY

[2] ST ORSOLA HOSP,DIV INTERNAL MED,BRESCIA,ITALY

来源：

CARDIOLOGY | 1993年 / 83卷 / 1-2期

关键词：

CONGESTIVE HEART FAILURE; PULMONARY FUNCTION; SPIROMETRY; LEFT ATRIAL PRESSURE; LEFT VENTRICULAR FILLING; DOPPLER ECHOCARDIOGRAPHY;

D O I：

10.1159/000175944

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

In a group of 13 Patients with severe heart failure, both forced vital capacity (FVC) and forced expiratory volume in 1 s (FEV 1) significantly improved after intensive medical therapy (FVC: from 77 +/- 17 to 92 +/- 20%, p < 0.001; FEV1: from 65 +/- 15 to 81 +/- 15%, p < 0.001) in the absence of change in M-mode echo cardiac dimension and left ventricular systolic function; on the other hand, a change of indices of left ventricular filling by Doppler transmitral flow was documented (E/A ratio: from 3.6 +/- 1.2 to 1.65 +/- 1.5, p < 0.01; early filling deceleration time: from 94 +/- 39 to 178 +/- 78 ms, p < 0.01), indicating a reduction of pulmonary capillary pressure; this probably positively affected pulmonary interstitial edema and bronchial wall congestion, thus enhancing pulmonary function.

引用

页码：30 / 35

页数：6

共 20 条

[1] RELATION OF TRANSMITRAL FLOW VELOCITY PATTERNS TO LEFT-VENTRICULAR DIASTOLIC FUNCTION - NEW INSIGHTS FROM A COMBINED HEMODYNAMIC AND DOPPLER ECHOCARDIOGRAPHIC STUDY [J].