心先安对冠心病患者左室舒张功能的影响The effects of meglumine cyclic adenylate (MCA) on left ventricular diastolic function in coronary heart disease
张可方,丁明,窦发坦,吴瑞婷,高效斗
摘要(Abstract):
为研究心先安对冠心病患者左室舒张功能的影响,选取38例心绞痛病人,静滴心先安90~120mg/d,10~14天为一疗程,应用超声多普勒测定左室舒缩末内径、舒张早期和晚期血流峰值速度(EV、AV)、舒张早期减速度(DC)及时间流速积分比R.等。结果,治疗前射血分数减低47±8.5%,EV降低68±9cm/s,AV增加88±16cm/s,R降低1.4±0.4,应用心先安后心电图缺血改善,上述指标明显好转(P<0.05),而DC变化不大。表明冠心病患者存在左室舒张功能障碍,心选安可改善左室舒张功能及心肌供血,早期应用可防治心衰。
关键词(KeyWords): 冠心病;心功能.左室;环腺苷酸
基金项目(Foundation):
作者(Author): 张可方,丁明,窦发坦,吴瑞婷,高效斗
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