老年高血压病左心室构型和房颤关系的研究  

Relationship between Left Ventricular Geometry and Atrial Fibrilla-tion in Elderly Patients with Essential Hypertension

作　　者：林建珍[1] 林金秀[2] 白萍[1] 张志民[1] 章文杰[1] 

机构地区：[1]福建省卫生职业技术学院附属福建省级机关医院,福建福州350003 [2]福建医科大学附属第一医院心内科,福建福州350005

出　　处：《现代诊断与治疗》2015年第15期3361-3363,共3页Modern Diagnosis and Treatment

基　　金：福建省卫生厅青年科研课题2009-2-35

摘　　要：目的研究老年高血压病左心室构型与房颤的关系。方法按超声心动图左心室构型Ganau分类方法,将老年高血压病患者分为四组:几何构型正常(NG)组、向心性重构(CR)组、向心性肥厚(CH)组、离心性肥厚(EH)组,比较四组房颤发生率。结果与NG组比较,CR组、CH组和EH组的房颤发生率显著增加(P<0.05);与CR组比较,CH组和EH组的房颤发生率显著增加(P<0.05);EH组房颤发生率比CH组显著增加(P<0.05)。根据多因素Logistic回归分析,左心室构型中舒张末期左室内径(LVEDD)对房颤发生的影响最大。结论老年高血压病随左心室不断重构,房颤发生率逐渐增高,在离心性肥厚构型时房颤发生率最高,其中LVEDD和房颤发生相关性最大。Objective To study the relationship between left ventricular geometry and atrial fibrillation in aged patients with essential hypertension.Methods According to the Ganau classification of left ventricular geometry, the elderly patients with essential hypertension were divided into four groups： normal geometry（NG） group,concentric remodeling（CR） group, concentric hypertrophy（CH）group and eccentric hypertrophy（EH） group.Results Compared with NG group, CR group, CH group and EH group were significantly increased（P〈0.05）; the incidence of atrial fibrillation in group CH and EH were significantly increased（P〈0.05）, P〈0.05 group was significantly higher than EH group（CH）. According to the multiple Logistic regression analysis, the effect of left ventricular end diastolic diameter（LVEDD） on the occurrence of atrial fibrillation was the most in the left ventricular configuration.Conclusions Elderly hypertension with left ventricular remodeling,the incidence of atrial fibrillation increased gradually, and the incidence of atrial fibrillation was the highest in eccentric hypertrophy. The correlation between LVEDD and AF was the highest.

关 键 词：超声心动描记术 多普勒 高血压 心房颤动 左心室构型 

分 类 号：R544.1[医药卫生—心血管疾病] R541.75[医药卫生—内科学]