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[选择缺血性心脏病合并动脉高血压患者进行手术治疗的形态功能标准]

[Morphofunctional criteria for the selection of patients with ischemic heart disease and associated arterial hypertension for surgical treatment].

作者信息

Gor'kavaia O F, Buziashvili Iu I, Fitileva L M, Kertsman V P, Kuznetsova T Iu

出版信息

Grudn Khir. 1989 Nov-Dec(6):42-5.

PMID:2612969
Abstract

After examination of 255 patients with ischemic heart disease (IHD) and concomitant arterial hypertension (AH) two groups were distinguished according the level of arterial pressure. Group 1 was formed of 89 patients (arterial pressure below 180/80 mm Hg), group 2--of 166 patients (arterial pressure above 180/100 mm Hg). Survival was determined according to certain morphofunctional indices (total affection of coronary arteries, left ventricular output fraction, left ventricular end diastolic pressure, tolerance to physical effort) in nonoperated on and operated on patients suffering from IHD and concomitant AH. It was found that the operation affects positively the "quality" of life more than the survival.

摘要

在对255例缺血性心脏病(IHD)合并动脉高血压(AH)患者进行检查后,根据动脉血压水平将患者分为两组。第一组由89例患者组成(动脉血压低于180/80 mmHg),第二组由166例患者组成(动脉血压高于180/100 mmHg)。根据某些形态功能指标(冠状动脉的整体病变情况、左心室射血分数、左心室舒张末期压力、体力耐受力)确定未接受手术和接受手术的IHD合并AH患者的生存率。结果发现,手术对生活“质量”的积极影响大于对生存率的影响。

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