| 摘要: |
| 目的 应用实时三维超声心动图（real-time three-dimensional echocardiography，RT-3DE）评估老年原发性高血压病患者行降压治疗前后右心室功能的变化情况。资料与方法 老年原发性高血压病患者97例，根据左心室质量指数（left ventricular mass index，LVMI）分成LVMI正常组（50例）及LVMI增高组（47例），均进行规范化降压治疗，于治疗前及治疗24个月后行超声心动图检查，比较降压治疗前后右心室功能的变化。结果 治疗24个月后两组血压显著降低(P＜0.05）。LVMI正常组降压治疗后PWTd、IVSd、LVMI较降压前减低，TAPSE较降压前增大，差异具有统计学意义（P＜0.05）；LVMI增高组降压治疗后LVIDd、PWTd、IVSd、LVMI、E/E’、E/e’、PASP较降压前减低，RVEF、TAPSE较降压前增大，差异具有统计学意义（P＜0.05）。结论 降压治疗可改善老年高血压病患者右心室功能，RT-3DE对于临床治疗效果的评价及预后的判断具有重要的临床意义。 |
| 关键词: 高血压病，原发性 左室质量 右心室，心室功能 超声心动图，实时三维 |
| DOI： |
| 投稿时间：2020-06-22修订日期：2020-08-02 |
| 基金项目: |
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| Evaluation of right ventricular function in elderly patients with essential hypertension before and after antihypertensive treatment by real-time three-dimensional echocardiography |
| gao xuhong,zhao ruihuan,kang chunsong |
| (Shanxi Medical University) |
| Abstract: |
| Objective The changes of right ventricular function in elderly patients with essential hypertension before and after antihypertensive treatment were evaluated by real-time three-dimensional echocardiography. Materials and Methods 97 cases of essential elderly hypertension were divided into left ventricular mass index (LVMI) normal group (50 cases) and LVMI increased group (47 cases) according to LVMI. All patients were treated with standardized antihypertensive therapy. Echocardiography was performed before and after treatment to compare changes in right ventricular function. Results After 24 months of treatment, the blood pressure of the two groups decreased significantly (P＜0.05). In normal LVMI group, PWTd, IVSd and LVMI decreased after antihypertensive treatment, while TAPSE increased after antihypertensive treatment, the difference of which was statistically significant (P＜0.05). In increased LVMI group, LVIDd, PWTd, IVSd, LVMI, E/E' , E/e’ and PASP decreased after antihypertensive treatment, while RVEF and TAPSE increased after antihypertensive treatment, the difference of which was statistically significant (P＜0.05). Conclusion Antihypertensive therapy can improve the right ventricular function in elderly patients with hypertension. RT-3DE has important clinical significance for the evaluation of clinical treatment effect and prognosis. |
| Key words: hypertension, essential left ventricular mass right ventricular, ventricular function echocardiography, real-time three-dimensional |
