颈动脉搏动的临床评估在主动脉瓣狭窄诊断中的应用价值。

Usefulness of clinical assessment of the carotid pulse in the diagnosis of aortic stenosis.

作者信息

Selvanayagam Joseph, De Pasquale Carmine, Arnolda Leonard

机构信息

Department of Cardiovascular Medicine, University of Oxford, John Radcliffe Hospital, Oxford, United Kingdom.

出版信息

Am J Cardiol. 2004 Feb 15;93(4):493-5. doi: 10.1016/j.amjcard.2003.10.054.

DOI:10.1016/j.amjcard.2003.10.054

PMID:14969634

Abstract

In a prospective controlled study, we compared the blinded assessment of the carotid pulse (independent of other clinical signs) by 1 of 3 cardiologists with applanation tonometry on the radial and carotid pulse (time to dominant peak and maximum rate of rise [-dP/dt]). We studied 23 patients with significant isolated aortic stenosis (AS) and 23 control patients. The odds ratio of finding a slowly rising pulse, representing AS, compared with a finding of a "normal"/"indeterminate" pulse was 10.4. Radial dP/dt was significantly lower in the group with AS, whereas carotid dP/dt was not significantly different between the 2 groups.

摘要

在一项前瞻性对照研究中，我们将3位心脏病专家中的1位对颈动脉搏动（独立于其他临床体征）的盲法评估与桡动脉和颈动脉搏动的压平式眼压测量法（主峰时间和最大上升速率[-dP/dt]）进行了比较。我们研究了23例重度单纯主动脉瓣狭窄（AS）患者和23例对照患者。与发现“正常”/“不确定”脉搏相比，发现代表AS的脉搏上升缓慢的比值比为10.4。AS组的桡动脉dP/dt显著较低，而两组之间的颈动脉dP/dt无显著差异。