Preobrazhenskiĭ D V, Talyzina I V, Sidorenko B A, Nekrasova N I, Vyshinskaia I V
Kardiologiia. 2009;49(7-8):42-5.
The prevalence of right ventricular cardiac failure (CF) and its characteristics were analysed in 326 hospitalized elderly patients with chronic obstructive pulmonary disease (COPD) (average age 70+/-11 years). At admission right ventricular CF was diagnosed in 107 (33%) patients with COPD; its prevalence did not depend to sex but increased with age, especially among men. In patients with COPD right ventricular CF was associated with atrial fibrillation, anemia and obesity as well as a history of myocardial infarction. In patients with right ventricular CF dimensions of right ventricle and left atrium were significantly larger than those in patients without CF. Right ventricular CF was often associated with dilation of right atrium and pulmonary hypertension, especially with severe pulmonary hypertension. These data suggested that age (especially among men), pulmonary hypertension, atrial fibrillation, anemia, obesity and probably a history of myocardial infarction are risk factors for right ventricular CF in hospitalized elderly patients with COPD.
对326例住院的慢性阻塞性肺疾病（COPD）老年患者（平均年龄70±11岁）的右心室心力衰竭（CF）患病率及其特征进行了分析。入院时，107例（33%）COPD患者被诊断为右心室CF；其患病率与性别无关，但随年龄增加，尤其是男性。在COPD患者中，右心室CF与心房颤动、贫血、肥胖以及心肌梗死病史有关。右心室CF患者的右心室和左心房尺寸明显大于无CF患者。右心室CF常与右心房扩张和肺动脉高压有关，尤其是重度肺动脉高压。这些数据表明，年龄（尤其是男性）、肺动脉高压、心房颤动、贫血、肥胖以及可能的心肌梗死病史是住院老年COPD患者右心室CF的危险因素。
