本文报告采用超声声学定量(AQ)技术对正常人8例和住院心血管病病人12例测量左室功能。使用 HP1500型彩超仪,采用传统面积长径法测量左室面积及射血分数(EF);同时启动AQ 系统得到左室面积及分数面积比值(FAC)。20例 AQ 与二维超声心动图(...本文报告采用超声声学定量(AQ)技术对正常人8例和住院心血管病病人12例测量左室功能。使用 HP1500型彩超仪,采用传统面积长径法测量左室面积及射血分数(EF);同时启动AQ 系统得到左室面积及分数面积比值(FAC)。20例 AQ 与二维超声心动图(2DE)测量左室面积相关显著.r 值0.73~0.95(P<0.0001)。AQ 参数 FAC 与2DE 参数 EF 值有相关关系,r 值0.6(P<0.05).AQ 定量技术自动实时显示左心室功能变化,可克服操作者的主观盲目性,便于手术前后监测心功能瞬时变化,操作简单,结果可靠。展开更多
Objective To assess the influence of age on the error of estimate (EE) of maximal oxygen uptake (VO2max) using sex and population specific-equations in cycle ergometer exercise testing, since estimated VO2 max is ...Objective To assess the influence of age on the error of estimate (EE) of maximal oxygen uptake (VO2max) using sex and population specific-equations in cycle ergometer exercise testing, since estimated VO2 max is associated with a substantial EE, often exceeding 20%, possibly due to intrinsic variability of mechanical efficiency. Methods 1850 adults (68% men), aged 18 to 91 years, underwent maximal cycle ergometer cardiopulmonary exercise testing. Cardiorespiratory fitness (CRF) was assessed relative to sex and age [younger (18 to 35 years), middle-aged (36 to 60 years) and older (〉 60 years)]. VO2max [mL.(kg.min)-1] was directly measured by assessment of gas exchange and estimated using sex and population specific-equations. Measured and estimated values of VO2max and related EE were compared among the three age- and sex-specific groups. Results Directly measured VO2max of men and women were 29.5 ± 10.5 mL.(kg.min)-1 and 24.2 ± 9.0 mL.(kg·min) -1 (P 〈 0.01). EE [mL·(kg·min)-1] and percent errors (%E) for men and women had similar values, 0.5 ± 3.2 and 0.4 ± 2.9 mL·(kg·min)-1, and -0.8 ± 13.1% and -1.7 ± 15.4% (P 〉 0.05), respectively. EE and %E for each age-group were, respectively, for men: younger = 1.9 ± 4.1 mL·(kg·min)-1 and 3.8 ± 10.5%, middle-aged = 0.6 ± 3.1 mL.(kg·min)-1 and 0.4 ± 10.3%, older = -0.2 ± 2.7 mL·(kg·min) -1 and -4.2 ± 16.6% (P 〈 0.01); and for women: younger = 1.2 ± 3.1 mL.(kg.min)-1 and 2.7 ±10.0%, middle-aged = 0.7 ± 2.8 mL·(kg·min)-1 and 0.5 ± 11.1%, older = -0.8 ± 2.3 mL-(kg·min)-1 and -9.5 ± 22.4% (P 〈 0.01). Conclusion VO2max were underestimated in younger age-groups and were overestimated in older age groups. Age significantly influences the magnitude of the EE of VO2max in both men and women and should be considered when CRF is estimated using population specific equations, rather than directly measured.展开更多
文摘本文报告采用超声声学定量(AQ)技术对正常人8例和住院心血管病病人12例测量左室功能。使用 HP1500型彩超仪,采用传统面积长径法测量左室面积及射血分数(EF);同时启动AQ 系统得到左室面积及分数面积比值(FAC)。20例 AQ 与二维超声心动图(2DE)测量左室面积相关显著.r 值0.73~0.95(P<0.0001)。AQ 参数 FAC 与2DE 参数 EF 值有相关关系,r 值0.6(P<0.05).AQ 定量技术自动实时显示左心室功能变化,可克服操作者的主观盲目性,便于手术前后监测心功能瞬时变化,操作简单,结果可靠。
文摘Objective To assess the influence of age on the error of estimate (EE) of maximal oxygen uptake (VO2max) using sex and population specific-equations in cycle ergometer exercise testing, since estimated VO2 max is associated with a substantial EE, often exceeding 20%, possibly due to intrinsic variability of mechanical efficiency. Methods 1850 adults (68% men), aged 18 to 91 years, underwent maximal cycle ergometer cardiopulmonary exercise testing. Cardiorespiratory fitness (CRF) was assessed relative to sex and age [younger (18 to 35 years), middle-aged (36 to 60 years) and older (〉 60 years)]. VO2max [mL.(kg.min)-1] was directly measured by assessment of gas exchange and estimated using sex and population specific-equations. Measured and estimated values of VO2max and related EE were compared among the three age- and sex-specific groups. Results Directly measured VO2max of men and women were 29.5 ± 10.5 mL.(kg.min)-1 and 24.2 ± 9.0 mL.(kg·min) -1 (P 〈 0.01). EE [mL·(kg·min)-1] and percent errors (%E) for men and women had similar values, 0.5 ± 3.2 and 0.4 ± 2.9 mL·(kg·min)-1, and -0.8 ± 13.1% and -1.7 ± 15.4% (P 〉 0.05), respectively. EE and %E for each age-group were, respectively, for men: younger = 1.9 ± 4.1 mL·(kg·min)-1 and 3.8 ± 10.5%, middle-aged = 0.6 ± 3.1 mL.(kg·min)-1 and 0.4 ± 10.3%, older = -0.2 ± 2.7 mL·(kg·min) -1 and -4.2 ± 16.6% (P 〈 0.01); and for women: younger = 1.2 ± 3.1 mL.(kg.min)-1 and 2.7 ±10.0%, middle-aged = 0.7 ± 2.8 mL·(kg·min)-1 and 0.5 ± 11.1%, older = -0.8 ± 2.3 mL-(kg·min)-1 and -9.5 ± 22.4% (P 〈 0.01). Conclusion VO2max were underestimated in younger age-groups and were overestimated in older age groups. Age significantly influences the magnitude of the EE of VO2max in both men and women and should be considered when CRF is estimated using population specific equations, rather than directly measured.