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頁籤選單縮合
題 名 | Pulmonary Hypertension--From Echocardiography and Electrocardiography to Clinical Correlation=肺動脈高壓--心臟超音波及心電圖與臨床病因之探討 |
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作 者 | 郭靖海; 周友三; 侯嘉殷; 蔡正河; 吳再成; | 書刊名 | Acta Cardiologica Sinica |
卷 期 | 14:4 民87.10-12 |
頁 次 | 頁206-212 |
分類號 | 415.3024 |
關鍵詞 | 肺高壓; 心臟超音波; 心電圖; Pulmonary hypertension; Echocardiography; Electrocardiography; |
語 文 | 英文(English) |
中文摘要 | 背景:肺高壓是心臟病常常併發的異常之一。本篇研究旨在確定在中度肺高壓的 病患中由左側心臟疾病與右側心臟疾病所引發的比例為何,以及由不同側的疾患所引發的肺 高壓病患在超音波與心電圖上的表現有何不同。 方法:吾人以回溯性的方式自 1997 年 1 月至 7 月收集在超音波檢查有中度肺高壓(肺收 縮壓≧ 50 毫米汞柱)的患者做分析,總共 66 位病患分為兩組:甲組是與左側心臟疾病相 關聯的患者計 38 人,乙組是與右側病變有關的患者計 28 人。 結果:左 / 右側疾病引起肺高壓的比例為 38/28 ( 57.6%:42.4% )最常見的病因是高血 壓心臟病( 15/66,23% ),乙組病患的肺收縮壓較甲組病患高( 71 ± 22 vs. 60 ± 12 ; p=0.022 ), 乙組病患的心電圖有較高的比例有右心室肥厚( 12/28 vs. 1/38; p=0.00005 )與右束支阻斷( 10/28 vs. 5/38;p=0.03 )。乙組病患在超音波檢查上較常 出現心室中膈異常運動( 22/28 vs. 14/38;p=0.003 ),甲組病患的左側心臟腔室較大但 是兩組間的收縮分率並無差異。 結論:中度肺高壓常續發於左側心臟疾患,心電圖上右心室肥厚及右束支阻斷較常發生在右 心疾患相關的肺高壓病患。心臟中膈異常運動也有同樣的意義。 |
英文摘要 | Background. Pulmonary hypertension is a common disorder accompanying various forms of heart disease. The incidence and different characteristics of left and right heart diseaseinduced moderate pulmonary hypertension remain uncertain. Methods. Data from sixty-six patients with moderate pulmonary hypertension (estimated systolic pulmonary artery pressure ≧ 50 mmHg and < 75 mmHg) documented by echocardiography were retrospectively collected from January 1997 to July 1997. Cases were further divided into two groups, group Ⅰ (n=38) with pulmonary hypertension related to left heart disease, and group Ⅱ (n=28) with pulmonary hypertension related to right heart disease. Results. The ratio of left to right heart disease-associated pulmonary hypertension was 38/28 (57.6% vs. 42.4%). The most common cause of pulmonary hypertension as a whole was hypertensive heart disease (15/66, 23%). Average systolic pulmonary pressure was significantly higher in group Ⅱ patients than group Ⅰ (71±22mmHg vs. 60±12 mmHg, P=0.022). Higher incidences of right ventricular hypertrophy (RVH) and right boundle branch block (RBBB) were detected by electrocardiogram (ECG) in group Ⅱ (for RVH, group Ⅱ: 12/28 vs. group Ⅰ: 1/38, P=0.00005; and for RBBB, group Ⅱ: 10/28 vs. group Ⅰ: 5/38, P=0.03). Paradoxical movement of the interventricular septum detected by echocardiography was more common in group Ⅱ (22/28 vs. 14/38, P=0.003). Group Ⅰ patients had larger left-sided chamber size. The ejection fraction was similar in both groups. Conclusions. Moderate pulmonary hypertension more commonly was associated with leftsided heart diseases. RVH and RBBB on ECG and paradoxical septal movement on echocardiograpy were more commonly found in patients with right heart disease-related pulmonary hypertension. |
本系統中英文摘要資訊取自各篇刊載內容。