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对64例Ⅰ、Ⅱ期临床无心功能不全表现的高血压患者,32例年龄与性别相匹配的健康者,应用多普勒超声心动图技术,对其右室舒张功能进行测定,同时测定其左室收缩及舒张功能并作比较,高血压组按超声心动图标准分为左室肥厚组(LVH)34例,无左室肥厚组(NLVH)30例。测定结果表明,NLVH组与正常组比较,前者通过三尖瓣的E峰较低(P<0.05),A峰较高(P<0.05),E/A比值较小(P<O.01),快速充盈分数(PFF),l/3充盈数(1/3EF)和校正的充盈率峰值(PFR)也降低(P<0.05),下降时间(DT)延长(P<0.01)。LVH组中上述各参数与正常组比较也均有降低,与NLVH组比较A峰、E/A比值和PFR有进一步损害。相关分析发现,右室充盈参数与左室充盈参数密切相关(r从0.45到0.80)。
To 64 patients with stage Ⅰ and Ⅱ clinical heart failure patients with hypertension, 32 age and sex matched healthy subjects, the application of Doppler echocardiography, right ventricular diastolic function was measured, while the left The systolic and diastolic functions of the patients were compared. Hypertension group was divided into left ventricular hypertrophy group (LVH) 34 patients and left ventricular hypertrophy group (NLVH) 30 according to echocardiography standard. The results showed that there was a lower E peak (P <0.05), a higher A peak (P <0.05) and a lower E / A ratio (P <0.01) in the NLVH group compared with the normal group , Fast filling fraction (PFF), 1/3 filling ratio (1 / 3EF) and corrected PFR (P <0.05), and prolonging descending time (DT) (P <0.01). LVH group of the above parameters were also reduced compared with the normal group, compared with the NLVH group A peak, E / A ratio and PFR further damage. Correlation analysis found that right ventricular filling parameters and left ventricular filling parameters are closely related (r from 0.45 to 0.80).