慢性心力衰竭患者出现左心室舒张功能障碍的频率

IF 0.2 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Sumyia Gurmani, Arij Arij, Fawad Fawad, Saba Hussain, Zubair Zubair, Salman Salman, Tahira Tahira, Tayabba Tayabba
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引用次数: 0

摘要

研究目的在这项横断面研究中,我们旨在评估在一家三级医院门诊就诊的 EF 值降低的慢性心力衰竭患者出现 RVDD 的频率。 研究方法:我们连续纳入了 EF 值降低的慢性心力衰竭患者。如果这些患者的 RV 收缩功能和肺动脉压正常,我们将对其进行 RVDD 评估。根据 ASE 指南,RVDD 被分为正常、松弛受损、假性正常充盈和限制性充盈。将RVDD等级与左心室收缩功能障碍和舒张功能障碍等级进行比较。 结果:在接受评估的 199 名患者中,66.3%(132 人)为男性,平均年龄(56.8 ± 12)岁。大多数患者(176 人,88.4%)被诊断为 ICMP。112 名(56.3%)患者出现了 RVDD,其中 30 名(26.8%)患者为 1 期(松弛受损),78 名(69.6%)患者为 2 期(假性正常),4 名(3.6%)患者为 3 级(限制性充盈)RVDD。经比较发现,左心室和左心室舒张功能障碍之间存在明显的统计学关联(P < 0.001)。 结论即使 RV 收缩功能正常,RVDD 也与 LV 收缩和舒张功能障碍密切相关。这种心室舒张相互作用的预后意义有待进一步研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Frequency of RV Diastolic Dysfunction in Chronic Heart Failure Patients
Objectives: In this cross-sectional study we aim to assess the frequency of RVDD in chronic heart failure patients with reduced EF who visited as outpatient in a tertiary care hospital. Methodology: We included consecutive patients with chronic heart failure who had reduced EF. We assessed these patients for RVDD if they had normal RV systolic function and pulmonary artery pressures. The RVDD was categorized as normal, impaired relaxation, pseudonormal filling and restricted filling according to ASE guideline. RVDD grades were compared with LV systolic dysfunction and diastolic dysfunction grades. Results: Out of 199 patients evaluated, 66.3% (132) were male will with the mean age of 56.8 ± 12 years. The majority, 176, 88.4% of patients were with diagnosis if ICMP. The RVDD was noted in 112 (56.3%) patients out of which 30 (26.8%) had stage 1 (impaired relaxation) 78 (69.6%) had stage 2 (pseudonormal) and 4 (3.6%) patients had grade 3 (restrictive filling) RVDD. When compared a statistically significant association (P < 0.001) was observed between LV and RV diastolic dysfunction. Conclusion: RVDD is under diagnosed entity of neglected ventricle which is significantly associated with LV systolic and diastolic dysfunction even if the RV systolic function is normal. The prognostic significance of this diastolic ventricular interaction needs to be further investigated.
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来源期刊
Pakistan Heart Journal
Pakistan Heart Journal CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
0.20
自引率
0.00%
发文量
64
审稿时长
6 weeks
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