超声心动图预测慢性收缩性心力衰竭预后的价值(1)
[摘要] 目的 探讨超声心动图预测慢性收缩性心力衰竭(心衰)预后的价值。 方法 2014年8月—2016年2月方便选择在首都医科大学密云教学医院诊治的慢性收缩性心衰患者112例，所有患者都给予超声心动图检查，记录相关指标。同时调查患者的病例资料并随访预后。结果 随访2年，112例患者的恶性心律失常、脑卒中、心源性死亡、再次心衰、再发冠脉事件等MACE发生率为18.8%。MACE组患者的LVEDV、LVESV值显著高于非MACE组患者[(107.33±22.19)mL vs (97.20±13.10)mL(t=6.922)， (49.20±11.49)mL vs (41.02±5.66)mL(t=7.043)，P<0.05)]，两组患者LVDs、LVDd、LAD值对比差异无统计学意义(P>0.05)。在112例患者中，直线相关分析显示患者预后MACE与LVEDV、LVESV值成相关性，差异有统计学意义(P<0.05)。 结论 超声心动图在慢性收缩性心衰患者中的应用可反映患者的心功能状况，预测预后具有很好的价值。
[关键词] 超声心动图;慢性收缩性心力衰竭;预后;相关性
[中图分类号] R541 [文献标识码] A [文章编号] 1674-0742(2019)09(c)-0181-03
[Abstract] Objective To investigate the value of echocardiography in predicting the prognosis of chronic systolic heart failure (heart failure). Methods From August 2014 to February 2016， 112 patients with chronic systolic heart failure who were diagnosed and treated at Miyun Teaching Hospital of Capital Medical University were conveniently selected. All patients were given echocardiography and related indicators were recorded. At the same time， the patient's medical records were investigated and the prognosis was followed up. Results During the follow-up of two years， the incidence of MACE in 112 patients with malignant arrhythmia， stroke， cardiogenic death， recurrent heart failure， and recurrent coronary events was 18.8%. The LVEDV and LVESV values of the patients in the MACE group were significantly higher than those in the non-MACE group (107.33±22.19)mL vs (97.20±13.10)mL(t=6.922)， (49.20±11.49)mL vs (41.02±5.66)mL(t=7.043， P<0.05)]. There was no statistically significant difference in the values of LVDs， LVDd and LAD between the two groups (P>0.05). In 112 patients， linear correlation analysis showed that the prognosis of patients with MACE was associated with LVEDV and LVESV values，the difference was statistically significant(P<0.05). Conclusion The application of echocardiography in patients with chronic systolic heart failure can reflect the cardiac function of patients and predict the prognosis is of great value.
[Key words] Echocardiography; Chronic systolic heart failure; Prognosis; Correlation
慢性收縮性心力衰竭(心衰)是各种心血管疾病的终末阶段，临床上主要表现为左心室增大、左心室收缩末期容量增加，其病死率是一般人群的4～8倍[1-2]。特别是很多患者的临床表现多样，有或无呼吸困难、乏力和液体潴留(水肿)等症状，导致临床诊断比较困难，预测预后也更加困难[3-5]。当前慢性收缩性心衰的诊断方法比较多，包括胸部X光片、核磁共振、放射性核素检查、超声心动图、心衰标志物、心肺运动实验等，其中超声心动图在准确评价心脏功能方面有很好的价值，具有无创、简便的优点[6-7]。2014年8月—2016年2月，该文具体探讨了超声心动图预测112例慢性收缩性心衰患者预后的价值，现报道如下。
1 对象与方法, 百拇医药(何丹 杨继敏 刘亚娟)
[关键词] 超声心动图;慢性收缩性心力衰竭;预后;相关性
[中图分类号] R541 [文献标识码] A [文章编号] 1674-0742(2019)09(c)-0181-03
[Abstract] Objective To investigate the value of echocardiography in predicting the prognosis of chronic systolic heart failure (heart failure). Methods From August 2014 to February 2016， 112 patients with chronic systolic heart failure who were diagnosed and treated at Miyun Teaching Hospital of Capital Medical University were conveniently selected. All patients were given echocardiography and related indicators were recorded. At the same time， the patient's medical records were investigated and the prognosis was followed up. Results During the follow-up of two years， the incidence of MACE in 112 patients with malignant arrhythmia， stroke， cardiogenic death， recurrent heart failure， and recurrent coronary events was 18.8%. The LVEDV and LVESV values of the patients in the MACE group were significantly higher than those in the non-MACE group (107.33±22.19)mL vs (97.20±13.10)mL(t=6.922)， (49.20±11.49)mL vs (41.02±5.66)mL(t=7.043， P<0.05)]. There was no statistically significant difference in the values of LVDs， LVDd and LAD between the two groups (P>0.05). In 112 patients， linear correlation analysis showed that the prognosis of patients with MACE was associated with LVEDV and LVESV values，the difference was statistically significant(P<0.05). Conclusion The application of echocardiography in patients with chronic systolic heart failure can reflect the cardiac function of patients and predict the prognosis is of great value.
[Key words] Echocardiography; Chronic systolic heart failure; Prognosis; Correlation
慢性收縮性心力衰竭(心衰)是各种心血管疾病的终末阶段，临床上主要表现为左心室增大、左心室收缩末期容量增加，其病死率是一般人群的4～8倍[1-2]。特别是很多患者的临床表现多样，有或无呼吸困难、乏力和液体潴留(水肿)等症状，导致临床诊断比较困难，预测预后也更加困难[3-5]。当前慢性收缩性心衰的诊断方法比较多，包括胸部X光片、核磁共振、放射性核素检查、超声心动图、心衰标志物、心肺运动实验等，其中超声心动图在准确评价心脏功能方面有很好的价值，具有无创、简便的优点[6-7]。2014年8月—2016年2月，该文具体探讨了超声心动图预测112例慢性收缩性心衰患者预后的价值，现报道如下。
1 对象与方法, 百拇医药(何丹 杨继敏 刘亚娟)