Abalı Gülcan, Akpınar Onur, Nisanoğlu Vedat, Ilgenli Tevfik Fikret
Department of Cardiology, Adana Acıbadem Hospital, Adana, Turkey.
Echocardiography. 2014 Aug;31(7):809-13. doi: 10.1111/echo.12479. Epub 2013 Dec 17.
The objective of this study was to determine the relation between the severity of the coronary artery disease (CAD) and left ventricular (LV) diastolic function in patient with stable CAD and normal LV ejection fraction.
Sixty patients with stable CAD were included in the study. All angiographic variables pertinent to SYNTAX Score (SS) and Gensini score (GS) calculation were computed by two experienced interventional cardiologists. All patients underwent echocardiographic examination.
We divided the patients into 4 groups according to median of SS and GS. It was observed that LV diastolic function was impaired in 26 patients (86.7%) in under group of SS, 23 patients (76.7%) in upper group of SS, and 27 patients (87.1%) in under group of GS, and 22 patients (75.9%) in upper group of GS. There was no significant difference between the SS, GS, clinical, and echocardiographic findings.
The diastolic function did not demonstrate any impairment according to the severity of the CAD in patients which coronary angiography performed with the diagnosis of stable CAD.
本研究的目的是确定稳定型冠心病且左心室射血分数正常的患者中冠状动脉疾病(CAD)的严重程度与左心室(LV)舒张功能之间的关系。
60例稳定型CAD患者纳入本研究。两名经验丰富的介入心脏病专家计算了所有与SYNTAX评分(SS)和Gensini评分(GS)计算相关的血管造影变量。所有患者均接受了超声心动图检查。
我们根据SS和GS的中位数将患者分为4组。观察到SS较低组中有26例患者(86.7%)左心室舒张功能受损,SS较高组中有23例患者(76.7%),GS较低组中有27例患者(87.1%),GS较高组中有22例患者(75.9%)。SS、GS、临床和超声心动图检查结果之间无显著差异。
在诊断为稳定型CAD且进行了冠状动脉造影的患者中,舒张功能并未根据CAD的严重程度表现出任何损害。