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浙江大学学报（医学版）
浙江大学学报（医学版）  1991, Vol. 20 Issue (5): 193-196    DOI: 10.3785/j.issn.1008-9292.1991.05.001
论著     
左心室舒张末期顺应性与舒张功能障碍机理研究
蔡伯林1, 龚兰生2, 叶季平2, 于金德2, 戚文航2, 丁怀翌2, 施仲伟2
1. 附属第一医院内科;
2. 上海第二医科大学附属瑞金医院内科
RELATIONSHIP BETWEEN LEFT VEN-TRICULAR END DIASTOLIC COMPLIANCE AND ABNORMAL DOPPLERMITRAL FILLING
Cai Bolin1, Gong Lansheng2, Ye Jiping2, et al2
1. Department of Medicine, First Affiliated HospitalGong Lansheng;
2. Dept of Medicine, Ruijin Hospital of Shanghai Second Medical University
 全文: PDF(319 KB)   HTML ( ) 
摘要：

冠状动脉病变合并高血压患者19例, 正常对照10例, 分别以心导管和Doppler超声心动图方法作了左心室舒张末期顺应性(LVEDC)和二尖瓣跨瓣血流速度检测。结果病变组LVEDC较对照组降低(P<0.01), 与Doppler舒张晚期血流峰值速度(PVA)增高等异常舒张功能同时出现。此外, 对照组PVA随LVEDC增高而降低(P<0.05), 病变组则不明显, 提示在舒张功能不全的发生中除了LVEDC降低机制外, 尚有其它因素参与。
关键词： 冠状动脉疾病/病理生理学;  心脏容量;  高血压/病理生理学;  心脏导管插入术/利用;  多普勒超声心动图描记术/利用    
Abstract:

Left ventricular end-diastolic compliance (LVEDC) and transmitral flow velocities were measured respectively by means of LV catheterization and pulsed-Doppler echocardiography in 19 patients with coronary artery disease associated with hypertension and 10 normal subjects.The LVEDC was much lower in patients than in normal subjects (P<0.01).The data showed that abnormal Doppler diastolic function such as elevated late diastolic peak flow velocity (PVA) and decreased LVEDC occurred simultaneously in these patients.In addition, the negative correlation of PVA with LVEDC observed in the normal controls but not in the patients suggested that in patients with impaired diastolic filling, other factors as well as the decreased LVEDC itself must have jointly participated in the development of diastolic dysfunction.
Key words: Coronary disease/physiopathol    Cardic volume    Hypertension/physiopathol    Heart catheterization/util    Doppler/util
收稿日期: 1990-12-10 出版日期: 1991-09-25
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引用本文:

蔡伯林, 龚兰生, 叶季平, 于金德, 戚文航, 丁怀翌, 施仲伟. 左心室舒张末期顺应性与舒张功能障碍机理研究[J]. 浙江大学学报（医学版）, 1991, 20(5): 193-196.

Cai Bolin, Gong Lansheng, Ye Jiping, et al. RELATIONSHIP BETWEEN LEFT VEN-TRICULAR END DIASTOLIC COMPLIANCE AND ABNORMAL DOPPLERMITRAL FILLING. Journal of ZheJiang University(Medical Science), 1991, 20(5): 193-196.

链接本文:

https://www.zjujournals.com/med/CN/10.3785/j.issn.1008-9292.1991.05.001    或    https://www.zjujournals.com/med/CN/Y1991/V20/I5/193

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