各种疾病患者中左心室质量不适当的发生率

Aygul R. Shamkina, A. Akhmetzianova, A. R. Gaziev, Maxim A. Makarov
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摘要

摘要。简介根据 G. de Simone 等人(1998 年)提出的不适当左心室质量概念,在某些情况下,左心室心肌质量的增加不足以应对高血压的血液动力学负荷。研究不成比例的高左心室心肌病的发病率和相互关系 ВЕСТНИК СОВРЕМЕНОЙ КЛИНИЧЕСКОЙ МЕДИЦИНЫ 2023 Том 16, вып.6 131ОБЗОРЫ肿块至今仍是一个热门话题,因为它增加了患者发生心血管事件的风险,同时与左心室肥厚无关。研究目的分析在研究不同疾病患者左心室心肌质量过高的患病率时获得的科学医学文献数据。材料和方法。我们查阅并分析了 1998-2023 年间电子数据库 PubMed、Medline 和 eLibrary 中国内外医学文献的科学成果。结果与讨论。研究左心室心肌质量过高患病率的论文主要以心血管疾病患者为研究对象。动脉高血压患者左心室心肌质量过高的发病率差异很大,从 9% 到 82.4%;同时,还发现了性别和种族差异。在冠心病、主动脉瓣狭窄、慢性肾脏病、类风湿性关节炎、2 型糖尿病和原发性醛固酮增多症患者中也很常见。结果发现,在合并慢性肾脏病和 2 型糖尿病的病例中,左心室心肌质量异常增高的频率呈上升趋势。结论是为了深入研究过高的左心室心肌质量如何导致不良的心血管预后,需要对这一主题进行进一步研究,包括研究其在患有不同疾病的患者(包括单独患病和合并患病的患者)中的患病率。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
PREVALENCE OF INAPPROPRIATE LEFT VENTRICULAR MASS IN PATIENTS WITH VARIOUS DISEASES
Abstract. Introduction. According to the inappropriate left ventricular mass concept proposed by G. de Simone et al. (1998), in some cases, an increment in the left ventricular myocardium mass occurs inadequately to the hemodynamic load of high blood pressure. Studying the prevalence and interrelation of disproportionately high left ventricular myocardia ВЕСТНИК СОВРЕМЕННОЙ КЛИНИЧЕСКОЙ МЕДИЦИНЫ 2023 Том 16, вып. 6 131ОБЗОРЫ mass continues to remain topical to the present, due to the increased risk of cardiovascular events among affected people, and at the same time independently of the presence of left ventricular hypertrophy. Aim. To analyze the scientific medical literature data obtained in studying the prevalence of disproportionately high left ventricular myocardial mass in patients with different diseases. Materials and Methods. We reviewed and analyzed the scientific results from national and foreign medical literature in electronic databases PubMed, Medline, and eLibrary over the years 1998- 2023. Results and Discussion. Research papers dealing with studying the prevalence of disproportionately high left ventricular myocardial mass mainly present patients with cardiovascular diseases. Prevalence of disproportionately high left ventricular myocardial mass in patients with arterial hypertension varies quite widely, from 9% to 82,4%; at the same time, gender and racial differences were found. It is also common in patients with coronary heart disease, aortic stenosis, chronic kidney disease, rheumatoid arthritis, type 2 diabetes mellitus, and primary aldosteronism. It turned out that the frequency of abnormally high left ventricular myocardial mass tends to increase in cases with a combination of chronic kidney disease and type 2 diabetes mellitus. Conclusions. To thoroughly study how disproportionately high left ventricular myocardial mass contributes to bad cardiovascular prognosis, further research is needed in this theme, including studying its prevalence in patients with different diseases, both isolated and combined.
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