Tamura Kiyoshi
Department of Cardiovascular Surgery, Soka Municipal Hospital, Soka, Saitama, Japan.
Ann Vasc Dis. 2017 Jun 25;10(2):115-118. doi: 10.3400/avd.oa.16-00102.
: To evaluate the relationship between varicose veins and heart failure, both of which cause edema of lower extremities. : We enrolled 150 patients who underwent intervention for varicose veins of lower extremities between December 2012 and October 2015, and perioperative data were retrospectively investigated. : Of the 150 patients, 104 (69.3%) were females. The mean age was 66.8±10.6 years (27-85 years). Eighty (53.3%) patients had varicose veins in both legs. In all patients, the postoperative (brain natriuretic peptide (BNP) value was significantly lower than the preoperative BNP value (pre : post=39.3 : 30.5 pg/dl, P<0.0001). In patients with higher BNP values (>100 pg/dl), the postoperative BNP values were significantly lower than the preoperative BNP values (pre : post=192.7 : 166.1 pg/dl, P<0.0001). Body weights of the patients decreased differently between pre- and post-operation (pre : post=61.3 : 59.4 kg, P=0.0008). : Intervention for varicose veins of lower extremities might be considered clinically useful for the improvement of cardiac function.
为评估均会导致下肢水肿的静脉曲张与心力衰竭之间的关系。我们纳入了2012年12月至2015年10月期间接受下肢静脉曲张干预治疗的150例患者,并对围手术期数据进行了回顾性研究。150例患者中,104例(69.3%)为女性。平均年龄为66.8±10.6岁(27 - 85岁)。80例(53.3%)患者双下肢均有静脉曲张。所有患者术后脑钠肽(BNP)值均显著低于术前BNP值(术前:术后 = 39.3:30.5 pg/dl,P<0.0001)。BNP值较高(>100 pg/dl)的患者,术后BNP值也显著低于术前BNP值(术前:术后 = 192.7:166.1 pg/dl,P<0.0001)。患者术前和术后体重下降情况不同(术前:术后 = 61.3:59.4 kg,P = 0.0008)。下肢静脉曲张干预治疗在临床上可能对改善心功能有用。