高血压患者左室不同构型的特点

被引：8

作者：

文丹

黄磊

王峻

范平

姜德谦

机构：

[1] 中南大学湘雅二医院心内科,中南大学湘雅二医院心内科,中南大学湘雅二医院心内科,中南大学湘雅二医院心内科,中南大学湘雅二医院心内科长沙,长沙,长沙,长沙,长沙

来源：

湖南医科大学学报 | 2003年 / 06期

关键词：

高血压; 超声心动图; 左室构型; 向心性重构;

D O I：

暂无

中图分类号：

R541.3 [高血压性心脏病];

学科分类号：

1002 ; 100201 ;

摘要：

目的 :观察高血压患者左室不同构型的临床特点。方法 :对 2 2 8例高血压患者进行超声心动图检查 ,6 0例正常人为对照组。结果 :2 2 8例高血压患者中左室正常构型占 2 1.9% ,向心性重构占 36 .4 % ,向心性肥厚占 32 .9% ,离心性肥厚占 8.8%。高血压组主动脉根部内径和左房内径高于对照组 (P <0 .0 5 ) ,以向心性肥厚和离心性肥厚组更为明显 ;离心性肥厚的CI和SVI高于对照组和向心性重构组 (P <0 .0 5 ) ;向心性重构EF和FS值最高 (P <0 .0 5 ) ,离心性肥厚EF值最低 (P <0 .0 5 ) ;高血压组E/A比值均低于对照组 (P <0 .0 5 ) ,尤其是向心性肥厚和离心性肥厚。总外周血管阻力 (TPR)在向心性重构组最高 (P <0 .0 5 ) ,离心性肥厚组最低 (P <0 .0 5 )。结论 :左室不同几何构型有其各自的特点 ,提示应采取不同的治疗措施。

引用

页码：623 / 626

页数：4

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