Roşu D, Zabîc E M, Streian C, Drăgulescu S I
Physiologie. 1985 Apr-Jun;22(2):103-7.
Posterior wall thickness (PW) and interventricular septal thickness (IVS), left ventricular end-diastolic diameter (LVEDD), left ventricular end-systolic diameter (LVESD), ejection fraction (EF) and left ventricular mass (LV mass) were determined by the echocardiogram. These were compared with the sum of the S wave in lead V1 plus the R wave in lead V6(SV1 + RV6) determined by electrocardiogram (ECG) in 21 hypertensive patients. A significant increase in PW (p less than 0,05), IVS (p less than 0.05) and LV mass (p less than 0.01) was found in all the 21 patients. PW was highly correlated with SV1 + RV6(r = 0,76; p less than 0.01) in 12 patients. LV mass was correlated with LVEDD (r = 0,60; p less than 0.05) and LVESD (r = = 0.66; p less than 0.05) in the same patients mentioned before. We conclude that LV mass increases early in hypertensive patients and can be better assessed by echocardiography than ECG. The PW has a greater influence on the SV1 + RV6 sum than the echocardiographically assessed IVS.
通过超声心动图测定后壁厚度（PW）、室间隔厚度（IVS）、左心室舒张末期内径（LVEDD）、左心室收缩末期内径（LVESD）、射血分数（EF）和左心室质量（LV质量）。将这些指标与21例高血压患者通过心电图（ECG）测定的V1导联S波与V6导联R波之和（SV1 + RV6）进行比较。在所有21例患者中均发现PW（p＜0.05）、IVS（p＜0.05）和LV质量（p＜0.01）显著增加。在12例患者中，PW与SV1 + RV6高度相关（r = 0.76；p＜0.01）。在上述同一组患者中，LV质量与LVEDD（r = 0.60；p＜0.05）和LVESD（r = 0.66；p＜0.05）相关。我们得出结论，高血压患者左心室质量早期增加，与心电图相比，超声心动图能更好地评估左心室质量。与超声心动图评估的IVS相比，PW对SV1 + RV6总和的影响更大。
