肺循环中的液体潴留是慢性心力衰竭患者肺静脉扩张和房颤发展的一个原因

IF 0.2 Q4 MEDICINE, GENERAL & INTERNAL
V. Kirillova
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引用次数: 1

摘要

目的:通过经胸超声心动图研究慢性心力衰竭(CHF)和不同形式心房颤动(AF)患者在心力衰竭治疗过程中左心房重构、肺静脉最大、最小直径及重构回归情况。材料和方法:前瞻性研究纳入了伴有阵发性房颤(n=38)和永久性房颤(n=36)且无心律失常(n=225)的CHF患者;患者在接受包括利尿剂循环在内的六个月标准治疗前后,在标准超声心动图协议的基础上,测量了肺静脉的最大和最小直径。结果:伴有永久性房颤的CHF患者左心房和肺静脉的结构改变明显比阵发性房颤患者、无心律失常患者和对照组更明显。阵发性房颤和永久性房颤患者在使用利尿剂治疗CHF后,观察一年内房颤发作终止,肺静脉最大直径和最小直径减小对阵发性房颤和永久性房颤经胸超声心动图检查发现肺静脉扩张的患者开环状利尿剂可降低阵发性房颤的PV直径并终止房颤发作。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Fluid Retention In The Pulmonary Circulation As A Cause Of Pulmonary Vein Dilatation And Atrial Fibrillation Development In Chronic Heart Failure Patients
Objective — The study objective was to perform a transthoracic echocardiographic study of the remodeling of the left atrium and the maximum and minimum diameters of pulmonary veins, as well as remodeling regression in the process of heart failure treatment, in patients with chronic heart failure (CHF) and different forms of atrial fibrillation (AF). Material and Methods — The prospective study included patients having CHF with paroxysmal AF (n=38) and permanent AF (n=36) and without arrhythmia (n=225); the patients had their maximum and minimum diameters of the pulmonary vein measured, additionally to the standard echocardiographic protocol, before and after six months of standard therapy including a loop diuretic. Results — Structural changes in the left atrium and pulmonary veins of patients with CHF having permanent atrial fibrillation were significantly more distinct than those in patients with paroxysmal AF, in patients without arrhythmia, and in the control group. A decrease in the maximum and minimum diameters of the pulmonary vein followed by termination of AF attacks within a year of observation was detected after CHF treatment with a loop diuretic in patients with paroxysmal AF and permanent AF. Conclusion — Prescribing loop diuretics to patients with pulmonary vein dilatation detected during transthoracic echocardiography in subjects with paroxysmal AF and permanent AF results in a decrease in PV diameters and termination of AF attacks in paroxysmal AF.
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来源期刊
Russian Open Medical Journal
Russian Open Medical Journal MEDICINE, GENERAL & INTERNAL-
CiteScore
0.90
自引率
0.00%
发文量
39
期刊介绍: Russian Open Medical Journal (RusOMJ) (ISSN 2304-3415) is an international peer reviewed open access e-journal. The website is updated quarterly with the RusOMJ’s latest original research, clinical studies, case reports, reviews, news, and comment articles. This Journal devoted to all field of medicine. All the RusOMJ’s articles are published in full on www.romj.org with open access and no limits on word counts. Our mission is to lead the debate on health and to engage, inform, and stimulate doctors, researchers, and other health professionals in ways that will improve outcomes for patients. The RusOMJ team is based mainly in Saratov (Russia), although we also have editors elsewhere in Russian and in other countries.
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