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充血性心肌病的临床、血流动力学及电影心血管造影检查结果

[Clinical, hemodynamic and cineangiocardiolographic findings in congestive cardiomyopathy].

作者信息

Giusti S, Tartarini G, Mengozzi G, Gherarducci G, Mariotti R, Mariani M

出版信息

G Ital Cardiol. 1979;9(5):488-93.

PMID:478219
Abstract

Sixteen patients affected by congestive cardiomyopathy were studied by means of right and left cardiac catheterization and cineangiocardiography. Cardiac output and mean pulmonary circulation time were determined by the radiocardiographic method. Left ventriculograms were obtained in all the patients in the 45 degrees RAO projection; the left ventricular end diastolic and end systolic volumes were calculated both by the area-length and by the slice method. Among the several hemodynamic data (stroke index, mean pulmonary circulation time, left ventricular end diastolic pressure, left ventricular volumes and ejection fraction) the most early impaired and therefore usefull for an early diagnosis, were: the left ventricular end-systolic volume, the left ventricular end-diastolic volume and the left ventricular ejection fraction.

摘要

对16例充血性心肌病患者进行了右心和左心导管检查及心血管造影研究。采用放射性心动图法测定心输出量和平均肺循环时间。所有患者均在右前斜45度投照下进行左心室造影;采用面积-长度法和切片法计算左心室舒张末期和收缩末期容积。在多项血流动力学数据(每搏指数、平均肺循环时间、左心室舒张末期压力、左心室容积和射血分数)中,最早受损且因此对早期诊断最有用的是:左心室收缩末期容积、左心室舒张末期容积和左心室射血分数。

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