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左心室肥厚的预后意义。

Prognostic Implications of Left Ventricular Hypertrophy.

机构信息

John Ochsner Heart and Vascular Institute, Ochsner Clinical School- The University of Queensland School of Medicine, New Orleans, LA, United States of America.

John Ochsner Heart and Vascular Institute, Ochsner Clinical School- The University of Queensland School of Medicine, New Orleans, LA, United States of America.

出版信息

Prog Cardiovasc Dis. 2018 Nov-Dec;61(5-6):446-455. doi: 10.1016/j.pcad.2018.11.002. Epub 2018 Nov 6.

DOI:10.1016/j.pcad.2018.11.002
PMID:30408469
Abstract

Left ventricular hypertrophy (LVH) was one of the earliest studied echocardiographic characteristics of the left ventricle. As the myriad of measurable metrics has multiplied over recent years, this reliable and relevant variable can often be overlooked. In this paper, we discuss appropriate techniques for accurate analysis, underlying pathophysiology, and the contributions from various risk factors. The prognostic implications of LVH on stroke, serious arrhythmias, and sudden cardiac death are reviewed. Finally, we examine the effect of therapy to reduce LVH and the resultant clinical outcomes.

摘要

左心室肥厚(LVH)是最早研究的左心室超声心动图特征之一。近年来,随着可测量指标的大量增加,这种可靠且相关的变量常常被忽视。在本文中,我们讨论了准确分析的适当技术、潜在的病理生理学以及各种危险因素的贡献。回顾了 LVH 对中风、严重心律失常和心脏性猝死的预后影响。最后,我们检查了降低 LVH 的治疗效果及其临床结果。

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