多普勒超声心动图评价再血管化治疗对心肌梗死患者心功能的影响Evaluation the effect of revascularization on left ventricular remodelling and cardiac function in patients with myocardial infarction by Doppler echocardiography
翟莉,黄岚,智光,吕豪,梅雪洁,张艳红,董鹏,王京
摘要(Abstract):
目的 观察再血管化治疗对心肌梗死患者左心室重塑和心功能的影响。方法 选择2 0 0例冠心病心肌梗死患者 ,分为再血管化组和单纯药物治疗组。用超声心动图观察心腔径、收缩及舒张功能。结果 再血管化治疗较药物治疗者心腔径指标明显缩小 ,舒张末容积 (EDV) ,舒张末容积指数 (EDVI) ,收缩末容积 (ESV) ,收缩末容积指数 (ESVI)明显缩小 ,射血分数 (EF) ,短轴缩短率 (FS)显著增加 (P <0 0 5 )。结论 再血管化治疗比单纯药物治疗能更好地减轻心肌梗死患者左心室重塑 ,改善收缩功能。
关键词(KeyWords): 超声心动图;再血管化治疗;心肌梗死;心功能
基金项目(Foundation):
作者(Author): 翟莉,黄岚,智光,吕豪,梅雪洁,张艳红,董鹏,王京
参考文献(References):
- 1AnversaP ,BassanR ,PotschA ,etal.Ischemicmyocardialinjuryandventricularremodeling.CardiovasRes,1993,27:145.
- 2杨跃进.应当重视急性心肌梗死左室重塑的防治.中国循环杂志,2000,15:323324.
- 3LindererJ ,GublB ,SpielbergC ,etal.Effectonglobalandregionalleftventricularfunctionbypercutransluminalcoronaryangioplasyinthechronicstageaftermyocardialinfarction.AmJCardiol,1992,69:997.
- 4BarnardD .Rightventricularfunctioninhealthanddisease.CurrProbCardiol,1987,423.
- 5GrossmanW .Diastolicdysfunctionandcongestiveheartfailure.Circulation,1990,81(Suppl):17.
- 6吴迪,刘秀杰,黄希正,等.前壁心肌梗死室壁瘤形成的核素心室造影.中国循环杂志,1994,12:710712.
- 7NidorfSM ,SiuSC ,GalamboS ,etal.Benefitofcoronaryreperfusiononventricularmophologyandfunctionaftermyocardial.Circulation,1992,69:9971002.