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不同类型心肌病伴慢性收缩性心力衰竭患者冠脉灌注压的临床分析

Clinical analysis of coronary perfusion pressure in patients with different classified cardiomyopathies with chronic congestive heart failure
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摘要 目的:探讨扩张型心肌病(DCM)和缺血性心肌病(ICM)的冠脉灌注压的特点及临床价值。方法:应用连续多普勒超声心动图(CWDE)测量40例DCM伴轻度主动脉瓣反流患者和40例ICM伴轻度主动脉瓣反流患者冠状动脉灌注压。结果:两组在心脏结构、心功能和冠状动脉灌注压等方面均无统计学差异。结论:伴慢性收缩性心力衰竭的DCM和ICM患者冠状动脉灌注压无显著差异。 AIM: To study coronary perfusion in dilated cardiomyopathy(DCM) and ischemic cardiomyopathy(ICM) with chronic systolic heart failure.METHODS: Ultrasound examinations were performed in two groups with mild aortic regurgitation: DCM group(n=40) and ICM group(n=40).Left ventricular end-diastolic dimension(LVEDd),ejection fraction(EF),left ventricular end-diastolic pressure(LVEDP) and coronary perfusion pressure were compared between groups.RESULTS: There were no differences in cardiac structure,function and coronary perfusion pressure between DCM group and ICM group.CONCLUSION: Patients with ischemic cardiomyopathy or nonischemic cardiomyopathy plus systolic heart failure have low coronary perfusion pressure without demonstrating any significant differences between them.
作者 陈超峰 王珂
出处 《心脏杂志》 CAS 2011年第6期752-754,757,共4页 Chinese Heart Journal
关键词 冠状动脉灌注压 超声心动描记术 心肌病 心力衰竭 收缩性 coronary perfusion pressure echocardiogram cardiomyopathy systolic heart failure
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