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脉冲多普勒超声心动图评价糖尿病患者的左室舒张功能

Pulsed Doppler echocardiographical assessment of ventricular diastoloc function in 46 cases of diabetes mellitus

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【作者】 王世伟鲍百丽齐济李淑忠孙军

【Author】 Wang Shiwei;Bao Baili;Qi Ji;et al(Department of Internal Medicine,JinzhouCentralHospital,Jinzhou 121001)

【机构】 锦州市中心医院内科

【摘要】 本文应用脉冲多普勒超声心动图评价无心脏病或充血性心力衰竭临床表现的46例糖尿病患者的左室舒张功能,并与45例健康人对比,发现糖尿病患者的峰值速度E,峰值速度E与峰值速度A之比及充盈分数值明显低于对照组,而峰值速度A和等容舒张时间值则明显而于对照组,两组差异非常显著(P<0.01)。结果表明糖尿病患者左室舒张功能下降,主要为左室舒缓性减退,提示舒张早期左室充盈障碍和舒张晚期左室顺应性下降。

【Abstract】 Left ventricular diastolic function(LVDF)determined by pulsed Doppler echocardiography(PDE)in 46 cases of diabetes mellitus(DM)without clinical evidence of heart disease or congestive heart failure.The other 45 healthy subjects were used as controls.We found peak flow velocity at early diastole(PVE),the ratio of PVE to peak flow velocity at atrial contraction (PVA),and the values of filling fractiion(FF)were lower in the DM group than in the control group.The values of PVA and isometric relaxation time(IRT)were higher than those of the control group,Differences between the two groups were significant(P<0.01).The result showed that the LVDF of DM was in depression, characterictic of decreased left ventricular relaxation,suggesting impaired left ventricular compliance at late diastole.

  • 【文献出处】 心功能杂志 ,CHINESE JOURNAL OF THE CARDIAC FUNCTION , 编辑部邮箱 ,1995年01期
  • 【分类号】R587.1
  • 【被引频次】3
  • 【下载频次】21
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