高血压并长期嗜酒致心肌疾病20例分析  

Analysis of 20 patients with cardiomyopathies caused by hypertension complicated with long-term alcohol abuse

作　　者：丁明伟[1] 赵国安[1] 殷国田[1] 孙海燕[1] 谷高玲[1] 杨秀丽[1] 李波[1] 

机构地区：[1]新乡医学院第三附属医院心内科,河南新乡453003

出　　处：《新乡医学院学报》2006年第1期76-77,共2页Journal of Xinxiang Medical University

摘　　要：目的探讨高血压并长期嗜酒致心肌疾病患者的临床特点及发病机制。方法对20例高血压并长期嗜酒患者心肌疾病的临床表现及辅助检查结果进行回顾性分析。结果20例高血压并嗜酒致心肌疾病的平均发病年龄44.7±6.8岁,临床主要表现为心力衰竭和心律失常。超声心动图示左心房内径平均41.2±8.56mm,右心室内径平均17.0±5.1mm,左心室舒张末期内径平均62.7±8.46mm,室间隔厚度平均11.16±3.47mm,左室后壁舒张末期厚度平均11.5±2.75mm,左室射血分数平均35.6±7.2%。结论高血压并长期饮酒使心肌疾病发病提前,心力衰竭严重,心律失常类型复杂。Objective To explore the clinical features and pathogenesy of cardiomyopathy caused by hypertension and long-term alcohol abuse. Methods The clinical manifestation and results of auxiliary examination in 20 cases of cardiomyopathies caused by hypertension complicated with long-term alcohol abuse were analyzed retrospectively. Results Twenty patients, the mean pathogenic ages were 44.7 ± 6.8 years , suffered from cardiomyopathy caused by hypertension and long-term alcohol abuse, whose clinical manifestation includding cardiac failure and arrhythmia. Maniestation of echocardiogram indicated that the mean inner diameter of left atrium, mean right ventricular internal dimension and mean left ventricular end diastolic dimension was 41.2 ± 8.56 mm, 17.0 ± 5.1 mm and 62.7 ± 8.46 mm respectively, the mean interventricular septal thickness and mean posterior left ventricle end diastolic dimension was 11.16 ± 3.47 mm and 11.5 ± 2.75 mm respectively, the left ventricular ejection fraction was 35.6 ± 7.2%. Conclusion Hypertension and long-term alcohol abuse make cardiomyopathy anticipation,of which heart failure was Severe and cardiac arrhythmia is multiplicity.

关 键 词：心肌疾病 高血压 酒精 超声心动图 

分 类 号：R541[医药卫生—心血管疾病]