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[左心室的动态几何学。舒张与弹性指数]

[Dynamic geometry of the left ventricle. Relaxation and elasticity indices].

作者信息

Fantini F, Michelucci A, Magherini A, Padeletti L, Malfanti P L, Dabizzi R P

出版信息

Minerva Med. 1978 Jul 7;69(33):2275-83.

PMID:150554
Abstract

A study was made of 34 patients with valve defects or arterial hypertension and a haemodynamic picture of left ventricle pressure or volume load. Echocardiography and haemodynamic investigated-established the size and mass of the left ventricle and also enabled its indices of contractility, relaxation and distensibility to be determined. The series was divided in accordance with the dynamic geometry of the left ventricle. In concentric hypertrophy, telediastolic rigidity increased in proportion to ventricular thickness and mass. In eccentric forms and ventricular dilatation, diastolic distensibility was reduced in cases with a high filling pressure. The relaxation values bore no relationship to distensibility and telediastolic compliance. The relaxation rate in protodiastole diminishes in proportion to functional depression of the left ventricle.

摘要

对34例有瓣膜缺陷或动脉高血压且呈现左心室压力或容量负荷血流动力学情况的患者进行了研究。超声心动图和血流动力学检查确定了左心室的大小和质量,还能够测定其收缩性、舒张性和扩张性指标。该系列根据左心室的动态几何学进行划分。在向心性肥厚中,舒张末期硬度与心室厚度和质量成比例增加。在离心性形式和心室扩张中,高充盈压情况下舒张期扩张性降低。舒张值与扩张性和舒张末期顺应性无关。舒张前期的舒张速率与左心室功能减退成比例降低。

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