老年退行性心脏瓣膜病临床研究

Clinical Study of Senile Recessive Cardiovalivosis

目的 探讨老年退行性心脏瓣膜病(SRC)的临床特征。方法 对66例SRC患者的临床资料进行分析,包括静息心电图、运动心电图、心脏彩超,胸片,血脂及心力衰竭临床表现和治疗反应。结果 左房室瓣和主动脉瓣钙化分别为76%和70%,心房颤动为76%。心脏收缩和舒张功能影响较小(EF≥65%者为 79%),主动脉弓内钙化影为 79%;脂质代谢无明显异常。结论 对老年人起病较晚,伴心脏明显杂音和心房纤颤,胸片提示主动脉弓内有显著钙化影和血脂无明显异常者,应积极作心脏彩超检查,以同冠心病和其他心脏病相鉴别。

Objective To explore the clinical characteristics of senile recessive cardiovalvosis (SRC).Methods Conduct analysis on clinical data of 66 patients with SRC,including ECG,move ECG,heart color dopler,chest X-ray,blood lipido,and clinical manifestation of heart failure.Results The calcification of left ventricular valve and aortary value are 76% and 70% respectively,atrial fibrillation is 76%.The heart systolic and diastolic function have been less influenced.(which with EF≥65% is 79%),the calcification of aorta arch is 79%.No obvious abnormality in lipid metabolism.Conclusion Heart color doplor exam should be given to those aged patients with obvious murmur and fibrillation,chest X-ray suggesting the obvious calcification in aorta arch,and blood lipid with no obvious abnormality in order to be distinguished with coronary heart disease and other heart disease.