Objectives To investigate the clinical characteristics and the diagnostic methods of senile retrogressive cardiovalvulopathy（SRC）. Methods Total 126 cases had heart murmurs or complicated with congestive heart failu...Objectives To investigate the clinical characteristics and the diagnostic methods of senile retrogressive cardiovalvulopathy（SRC）. Methods Total 126 cases had heart murmurs or complicated with congestive heart failure were selected into study. The diagnosis of SRC was detected by Echocardiography （UCG）, chest X-ray, electrocardiography （ECG）and clinical data. The characteristics of clinical data included symptoms, signs, heart function and the prognosis, the features of UCG included quantify and positions of valvulae in pathosis, index of heart function, and the special findings of chest X-ray and ECG were analysed. Results The murmurs were found in total 126 cases complicated with different heart sounds and in different intensity in auscultate, 119 patients were complicated with acute or chronic heart failure in different levels of heart function from Ⅱ -Ⅳ（NYHA）. All the patients were received UCG examination, 126 cases had different calcifications with different extent and single or mixed valves were involved. The left ventricle heart function of systole and diastole were impaired. The mean LVEF was （35 ± 0.7）%, In chest X-ray test： The ratio between heart and chest in larger than 50% were found in 122 cases. The ECG examination in total 84 patients shown that atrial premature beats were in 65 patients, atrial fibrillation or atrial flutter in 75 patients, ventricle premature beats 41 patients. Conclusions The results suggest that elder patients with heart murmurs, congestive heart failure or cardiac arrhythmias should be advised to received a UCG examination, SRC should be considerd, and other heart disease should be distinguished by UCG.展开更多
文摘Objectives To investigate the clinical characteristics and the diagnostic methods of senile retrogressive cardiovalvulopathy（SRC）. Methods Total 126 cases had heart murmurs or complicated with congestive heart failure were selected into study. The diagnosis of SRC was detected by Echocardiography （UCG）, chest X-ray, electrocardiography （ECG）and clinical data. The characteristics of clinical data included symptoms, signs, heart function and the prognosis, the features of UCG included quantify and positions of valvulae in pathosis, index of heart function, and the special findings of chest X-ray and ECG were analysed. Results The murmurs were found in total 126 cases complicated with different heart sounds and in different intensity in auscultate, 119 patients were complicated with acute or chronic heart failure in different levels of heart function from Ⅱ -Ⅳ（NYHA）. All the patients were received UCG examination, 126 cases had different calcifications with different extent and single or mixed valves were involved. The left ventricle heart function of systole and diastole were impaired. The mean LVEF was （35 ± 0.7）%, In chest X-ray test： The ratio between heart and chest in larger than 50% were found in 122 cases. The ECG examination in total 84 patients shown that atrial premature beats were in 65 patients, atrial fibrillation or atrial flutter in 75 patients, ventricle premature beats 41 patients. Conclusions The results suggest that elder patients with heart murmurs, congestive heart failure or cardiac arrhythmias should be advised to received a UCG examination, SRC should be considerd, and other heart disease should be distinguished by UCG.
