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[年龄、体重和心率对正常受试者静息时心脏功能的影响]

[Effects of age, weight and heart rate on cardiac function at rest in normal subjects].

作者信息

Sawada H, Takata H, Kato K

机构信息

Cardiovascular Institute, Tokyo.

出版信息

J Cardiol. 1988 Jun;18(2):443-50.

PMID:3249268
Abstract

The effects of age, body weight, and heart rate on cardiac function and left ventricular (LV) volumes at rest were determined for 203 normal subjects, aged 10 to 75 years, using a multiple linear regression model. LV volume was calculated by the formula: volume = 7 X dimension3/(2.4 + dimension). There were age-related increases in ejection fraction, mean velocity of circumferential shortening (mVcf), fractional shortening (FS), stroke volume (SV), and cardiac output (CO). Weight-related increases in SV and CO were observed. Heart rate-related increases in mVcf and CO were also observed. LV volumes at end-systole and at the end of the rapid filling, and slow filling phases decreased with age and increased with weight. However, end-diastolic volume increased with weight, independently of age. The change in LV volume during the rapid filling phase increased with weight; that during the slow filling phase was independent of age, weight, or heart rate. The change in LV volume during the atrial contraction phase increased with age and weight. The ratio of the change in LV volume during atrial contraction to end-diastolic volume was age-related, but independent of weight and heart rate [(an increase in LV volume during atrial contraction)/(end-diastolic volume) = 0.0032 X age (years) + 0.00042 X weight (Kg) + 0.034 X RR interval (sec)]; (r = 0.67, p less than 0.001). The velocity of change in LV volume during the rapid filling phase decreased and that during atrial contraction increased with age.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

采用多元线性回归模型,对203名年龄在10至75岁的正常受试者静息时年龄、体重和心率对心功能及左心室(LV)容积的影响进行了测定。LV容积通过以下公式计算:容积 = 7×直径³/(2.4 + 直径)。射血分数、圆周缩短平均速度(mVcf)、缩短分数(FS)、每搏输出量(SV)和心输出量(CO)随年龄增加。观察到SV和CO与体重相关增加。还观察到mVcf和CO与心率相关增加。收缩末期、快速充盈期末和缓慢充盈期末的LV容积随年龄减小,随体重增加。然而,舒张末期容积随体重增加,与年龄无关。快速充盈期LV容积的变化随体重增加;缓慢充盈期的变化与年龄、体重或心率无关。心房收缩期LV容积的变化随年龄和体重增加。心房收缩期LV容积变化与舒张末期容积的比值与年龄相关,但与体重和心率无关[(心房收缩期LV容积增加量)/(舒张末期容积) = 0.0032×年龄(岁) + 0.00042×体重(千克) + 0.034×RR间期(秒)];(r = 0.67,p < 0.001)。快速充盈期LV容积变化速度随年龄降低,心房收缩期随年龄增加。(摘要截短至250字)

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