Knutsen K M, Stugaard M, Michelsen S, Otterstad J E
Department of Internal Medicine, Vestfold Central Hospital, Toensberg, Norway.
J Intern Med. 1989 Feb;225(2):111-5. doi: 10.1111/j.1365-2796.1989.tb00049.x.
In order to assess M-mode echocardiographic recordings in a normal Norwegian population, 190 apparently healthy subjects (95 women and 95 men) aged 21-69 years were examined with an Irex Meridian system. Measurements were performed according to criteria recommended by the American Society of Echocardiography. Absolute values for all parameters except for left ventricular (LV) shortening fraction (SF) were greater in men (P less than 0.001). When corrected for body surface area (BSA), the differences between the two genders were far less pronounced. Women had greater left atrium (LA) (P less than 0.01) and LV end-diastolic diameter (EDD) (P less than 0.001), whereas the interventricular septum in end-diastole (IVS-ED) (P less than 0.05) and LV posterior wall (PW) in ED (P less than 0.001) were thicker in men. Only weak correlations between age and the various echocardiographic parameters with r-values less than or equal to 0.30 were observed. It is recommended that BSA corrected values should be preferred since the differences between men and women are negligible. When absolute values are used, different normal ranges for both sexes should be applied.
为评估挪威正常人群的M型超声心动图记录,使用Irex Meridian系统对190名年龄在21 - 69岁之间的明显健康受试者(95名女性和95名男性)进行了检查。测量按照美国超声心动图学会推荐的标准进行。除左心室(LV)缩短分数(SF)外,所有参数的绝对值男性均更高(P < 0.001)。校正体表面积(BSA)后,两性之间的差异远不那么明显。女性的左心房(LA)更大(P < 0.01),左心室舒张末期内径(EDD)更大(P < 0.001),而男性舒张末期室间隔(IVS - ED)更厚(P < 0.05),舒张末期左心室后壁(PW)更厚(P < 0.001)。仅观察到年龄与各种超声心动图参数之间存在弱相关性,r值小于或等于0.30。建议优先使用校正BSA后的值,因为男女之间的差异可以忽略不计。使用绝对值时,应采用男女不同的正常范围。