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[非选择性β受体阻滞剂治疗原发性高血压时左心室的舒张与快速充盈]

[Relaxation and rapid filling of the left ventricle in essential hypertension during treatment with a non-selective beta blocker].

作者信息

Sirakova V, Penkov N, Kaponov Kh

出版信息

Vutr Boles. 1987;26(3):33-8.

PMID:2887071
Abstract

Some indices of relaxation and rapid filling were evaluated in the course of a six-month treatment with non-selective beta-blocker in 30 patients with hypertonic disease, (HD), degree II, with echocardiographically confirmed left-ventricular hypertrophy and normal systolic function. The phase analysis of the early diastole, performed according to Alvarez and Goodwin, reveals a progressive shortening of the period of isovolumetric relaxation and lengthening of the period of active suction with no change in the summed up period of rapid relaxation; the period of rapid filing is lengthened on account of the active suction. The evaluated via computer analysis (echo-computer--NIEMT-MA, Sofia) parameters of rapid filling of M-type echogram of left ventricle (maximum velocity of increase of left-ventricular dimension, mean velocity of fraction of rapid filling) increase progressively. The dynamics of the indices of diastolic function described, reflect the diminution of the restriction of ventricular filling and its shifting to the early diastole.

摘要

在30例II级高血压病(HD)患者中,使用非选择性β受体阻滞剂进行了为期6个月的治疗,这些患者经超声心动图证实有左心室肥厚且收缩功能正常,期间对一些舒张和快速充盈指标进行了评估。根据阿尔瓦雷斯和古德温的方法进行的舒张早期相分析显示,等容舒张期逐渐缩短,主动抽吸期延长,快速舒张期总和无变化;由于主动抽吸,快速充盈期延长。通过计算机分析(回声计算机——NIEMT-MA,索非亚)评估的左心室M型超声心动图快速充盈参数(左心室尺寸增加的最大速度、快速充盈分数的平均速度)逐渐增加。所描述的舒张功能指标动态变化反映了心室充盈受限的减轻及其向舒张早期的转移。

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