心脏彩超在高血压左室肥厚伴左心衰竭患者中的临床诊断价值分析

Abstract
Figure/Table
References (20)
Related Citation (15)

Download: PDF (0 KB) HTML (42 KB)
Export: BibTeX | EndNote (RIS)

Abstract ObjectiveTo analyze the clinical diagnostic value of cardiac color Doppler ultrasonography in hypertensioninduced left ventricle hypertrophy patients with left heart failure.MethodsFrom July 2014 to July 2016,58 hypertension-induced left ventricle hypertrophy patients with left heart failure treated in our hospital were selected as the observation group.Another group of 58 healthy people visiting our hospital for physical examinations were selected as the control group during the same period.Both groups were provided with cardiac color Doppler ultrasonography.Indexes of diastolic blood pressure (DBP),systolic blood pressure (SBP),left ventricular weight(LVM),left ventricular mass index (LVMI),left ventricular fractional shortening (LVFS),left ventricular end-diastolic diameter (LVEDD),left ventricular end-systolic diameter(LVESD),left ventricular ejection fraction (LVEF),left atrial diameter(LAD),maximal blood flow velocity of opening of mitral valve at early diastolic stage (E)/maximal speed of movement of mitral valve at early diastolic stage (A)were compared between the two groups.ResultsIn the observation group,the SDP,SBP,and LVEDD were all much higher in comparison with those in the control group,with statistical differences(P＜0.05).The indexes of LVM, LVMI,LVEF and LVFS were significantly higher in the observation group compared with those in the control group,with statistical differences(P＜0.05).In the observation group,the peak value A was significantly higher than that in the control group,while the peak value E and E/A ratio were greatly lower than those in the control group,with statistical differences(P＜0.05).In patients with gradeⅢcardiac function,the indexes of LAD,LVEDD and E/A were significantly higher than those in gradeⅡ,while LVEF was much lower than that of gradeⅡ,with statistical differences(P＜0.05).Conclusion Cardiac color Doppler ultrasound can dynamically display the structure of cardiac cavity,heart beat and blood flow as well as accurately evaluate the cardiac function at advantages of no trauma and repeatable performance,which can be considered as a basis for early judgment for patients′disease condition.

Key words： Cardiac color Doppler ultrasound Hypertension Left ventricle hypertrophy Left heart failure

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	LAN Rong-qing

Cite this article:

LAN Rong-qing. Clinical diagnostic value analysis of cardiac color Doppler ultrasonography in hypertension-induced left ventricle hypertrophy patients with left heart failure[J]. 中国当代医药, 2017, 24(12): 116-118转124.

URL:

http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2017/V24/I12/116

[1]	孔涛，贺立新.儿茶酚胺抑素与原发性高血压左室肥厚的关系及培哚普利的干预疗效[J].中国医师杂志，2016，18（5）：773-775.
[2]	鲁轩浩，赵连友，张志敏，等.高血压伴高同型半胱氨酸血症大鼠心肌ATF6和CHOP表达对左室肥厚的影响及依叶片干预效果[J].中国实验诊断学，2016，5（12）：2016-2019.
[3]	敖炜伟，储伟.无创心功能检测在高血压患者中的临床应用[J].江苏实用心电学杂志，2016，25（2）：106-108.
[4]	林爱华，吴云虹，符薇薇，等.高血压左室肥厚患者心电图Cornell电压的测定及其与病情评估的关系[J].中国现代医学杂志，2015，25（22）：93-96.
[5]	林若庭，蔡若蔚，许东明，等.疑难病例析评第384例哮喘-一过性嗜酸性粒细胞增高-动眼神经麻痹[J].中华医学杂志，2016，96（45）：3686-3688.
[6]	何丽，储伟.动态心电图中频发室早与血压的关系[J].江苏实用心电学杂志，2016，25（2）：123-125.
[7]	刘文旭，赵映，薛超，等.致心律失常性右室心肌病的超声心动图特点和误诊、漏诊分析[J].中华超声影像学杂志，2015，24（3）：199-203.
[8]	宋喜亮，郑磊.心脏彩超在诊断高血压左室肥厚伴左心衰竭的价值分析[J].临床研究，2016，24（11）：190-191.
[9]	戴宇彪.心脏彩超与心电图诊断对高血压性心脏病患者的诊断对比分析[J].数理医药学杂志，2016，29（9）：1319-1320.
[10]	周铭，郭冠军，孙步高，等.心脏彩超对高血压左室肥厚伴左心衰竭的诊断价值分析[J].心血管康复医学杂志，2016，25（5）：511-513.
[11]	邱丽芳，陈秀丽.心脏彩超、NT pro BNP以及hsCRP在评估H型高血压心功能不全诊断中的应用[J].中西医结合心脑血管病杂志，2016，14（11）：1256-1258.
[12]	陈玉菲，杨萍，李宇，等.超声心动图E/A值在80岁及以上舒张性心力衰竭患者诊断中的价值[J].中华老年医学杂志，2014，33（2）：195-196.
[13]	靳文学，乔秀兰，邹演梅，等.中西医结合救治重症心肌炎1例[J].中国中西医结合急救杂志，2016，23（4）：437-438.
[14]	李作坤，冯强，田冬季，等.切割球囊成功处理冠状动脉严重钙化狭窄病变1例报告[J].中国循证心血管医学杂志，2016，8（10）：1261.
[15]	魏钟海，王涟，张宁，等.激素治疗IgG4相关性胆管炎后致心脏逆重构一例[J].中国循环杂志，2016，31（11）：1129-1129.
[16]	白凤芝，李桂芳，孙录，等.注射用尖吻蝮蛇血凝酶致过敏反应1例[J].中国实验诊断学，2016，20（12）：2142-2143.
[17]	张成，高斌.比索洛尔与曲美他嗪联用对高血压心肌肥厚患者心肌重构的抑制作用[J].中国生化药物杂志，2016， 36（11）：50-52.
[19]	刘小禾，李晨，柴艳芬，等.急性左心衰患者肺部超声影像变化及其临床意义[J].中华临床医师杂志（电子版），2014，8（2）：183-186.
[18]	Palmieri V，Russo C，Palmieri EA，et al.Isolated left ventricular diastolic dysfunction：implications for exercise left ventricular performance in patients without congestive heart failure[J].J Am Soc Echocardiogr，2006，19（5）：491-498.
[20]	赖海波.脂联素、脑钠肽、心衰超声指数与慢性心力衰竭的相关性[J].中国当代医药，2016，23（13）：41-42.