多普勒参数评价窦性心律风湿性二尖瓣狭窄患者左室充盈压的可行性
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Doppler echocardiography to estimate noninvasively left ventricular filling pressure in patients with rheumatic mitral stenosis and sinus rhythm: a feasibility study
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    摘要:

    目的探讨应用多普勒超声心动图新指标TE-Ea和左室等容舒张时间(IVRT)/TE-Ea无创估计我国风湿性二尖瓣狭窄患者左室充盈压的临床可行性。方法32例窦性心律风湿性二尖瓣狭窄患者〔平均二尖瓣口面积(1.45±0.40)cm2〕根据平均IVRT/TE-Ea<0,IVRT/TE-Ea≥4.16,00能够较好地反映患者的临床严重程度和可能存在的左室充盈压异常。

    Abstract:

    Objective To investigate the feasibility of using new Doppler filling parameters(TE-Ea and IVRT/ TE-Ea) in estimating left ventricular(LV) filling conditions of patients with rheumatic mitral stenosis(MS).Methods Thiry-two subjects with rheumatic MS and sinus heart rhythm were enrolled,their average mitral valve area(MVA) was(1.45±0.40)cm2.The patients were divided into subgroups according to mean IVRT/ TE-Ea,and the diastolic filling parameters of each group were compared.Results Significant filling dysfunction was present in patients with rheumatic MS.After dividing the patients by mean IVRT/TE-Ea(group 1,5 cases,IVRT/TE-Ea<0;group 2,17 cases,IVRT/TE-Ea≥4.16;and group 3,10 cases,00 could finely discriminate clinical status and possible existing LV filling pressure abnormality.

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桂燕萍 施仲伟 胡厚达 许燕.多普勒参数评价窦性心律风湿性二尖瓣狭窄患者左室充盈压的可行性[J].中华老年多器官疾病杂志,2009,8(4):345~350+354

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