| 摘要: |
| 摘要 目的 分析两种疾病形成的心房增大的结构及功能的不同；以及超声心动图对心房结构及功能的应用价值。方法 选取我院2016年全年住院的冠心病（Coronary heart disease，CHD）及孤立性房颤（Paroxysmal Atrial Fibrillation PAF）患者各30例，领选取健康体检者30例作为对照组（Nomal Control，NC）。分别对三组行超声心动图检查，记录三组的左、右心房左右径上下径、容积（LAV、RAV）；左、右心房主动射血分数（LAEF、RAEF）;左、右心房应变（LAS、RAS）及应变率（LASR、RASR） 结果 孤立性房颤PAF组患者左、右房左、右径上下径容积均大于冠心病CHD组及正常对照组NC，左、右心房主动射血分数、应变及应变率均小于冠心病组及对照组；而冠心病CHD组的左房前后径、上下径、左右径、容积均大于正常对照组，主动射血分数应变及应变率均小于对照组；CHD组右房上下径及左右径与正常对照组无明显差异，而最大容积大于正常对照组，右房主动射血分数与正常对照组无明显差异，而应变及应变率减小。结论 冠心病及孤立性房颤均可使患者左、右心房增大，而AF造成的心房增大更显著。超声心动图可以对两种疾病的心房结构及收缩功能做较全面的评价，而二维斑点跟踪技术应变、应变率成像对心房功能的改变更敏感。 |
| 关键词: 超声心动图 冠心病 孤立性房颤 心房 结构 功能 |
| DOI： |
| 投稿时间：2017-12-19修订日期：2017-12-30 |
| 基金项目: |
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| Contrast analysis of auricular structure and function in patients with between coronary heart disease and Paroxysmal Atrial Fibrillation make use of echocardiogrphic |
| zhengjiarong,wangdong |
| (263 Clinical Department of Army General Hospital) |
| Abstract: |
| [Abstract] Objective To analyze atrium structure and function in patients with Coronary heart disease or Paroxysmal Atrial Fibrillation,and evaluate value of Echocardiography in the diseases；Methods 30patients with Coronary heart disease（CHD）,30 patients with Paroxysmal Atrial Fibrillation（PAF） and 30 healthy volunteer (nomal control,NC)were enrolled in our hospital from January to December 2014. Cardiography was conducted to obtain left and right Atrial diameter, ejection fraction, straining and straining rate of the three groups. Results Compared with control group,PAF group had reduce ejection fraction straining and straining rate in left and right Atrial;while elevated diameter and volume. CHD group had decrease straining and straining rate,while increased volume in left and right Atrial. Conclusion Both Coronary heart disease and Paroxysmal Atrial Fibrillation cause to accrescent Atrial volume,decrease Atrial function，the destruction caused by Paroxysmal Atrial Fibrillation is more serious. Echocardiography can envaluate the atrial striucture and function with Coronary heart disease or Paroxysmal Atrial Fibrillation, then straining and straining rate imaging base on 2-dimensional speckle tracking technique are more sensitive. |
| Key words: Echocardiography Coronary heart disease Paroxysmal Atrial Fibrillation Atrium Structure Function |
