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冠状动脉搭桥术后左心室功能评估:一项非侵入性研究。

Assessment of left ventricular function following coronary bypass surgery: a non-invasive study.

作者信息

Hardarson T, Ziady G M, Khattri H N

出版信息

Thorax. 1974 May;29(3):359-65. doi: 10.1136/thx.29.3.359.

DOI:10.1136/thx.29.3.359
PMID:4850667
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC470160/
Abstract

, , 359-365. In a series of 15 patients with ischaemic heart disease, systolic time intervals (STI) were measured before, and at one week, three months, and six months following coronary vein-graft surgery. Preoperatively, the left ventricular ejection time (LVET) was abnormally short in seven patients, while the pre-ejection period was abnormally long in seven patients, suggesting impaired left ventricular function. At one week after surgery LVET and total electromechanical systole (QA2) were significantly abbreviated. This may be explained by the transient fall in cardiac output or postoperative neurohumoral changes. For the group as a whole, no significant changes were found at three or six months, suggesting that cardiac function was generally preserved rather than improved. However, in individual patients changes in STI correlated with the clinical and angiographic estimate of success of the operative treatment.

摘要

在一组15例缺血性心脏病患者中,于冠状动脉静脉搭桥手术前、术后1周、3个月和6个月测量收缩期时间间期(STI)。术前,7例患者左心室射血时间(LVET)异常缩短,7例患者射血前期异常延长,提示左心室功能受损。术后1周,LVET和总电机械收缩期(QA2)显著缩短。这可能是由于心输出量短暂下降或术后神经体液变化所致。对于整个组而言,3个月和6个月时未发现显著变化,提示心脏功能总体上得以保留而非改善。然而,在个别患者中,STI的变化与手术治疗成功的临床及血管造影评估相关。

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本文引用的文献

1
Relationships between left ventricular ejection time, stroke volume, and heart rate in normal individuals and patients with cardiovascular disease.正常个体及心血管疾病患者左心室射血时间、每搏输出量与心率之间的关系。
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Q-second sound interval in acute myocardial infarction.急性心肌梗死中的Q第二心音间期。
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Systolic time intervals in heart failure in man.人类心力衰竭时的收缩期时间间期
Circulation. 1968 Feb;37(2):149-59. doi: 10.1161/01.cir.37.2.149.
4
Bypass grafting for occlusive disease of the coronary arteries: a report of experience with 195 patients.冠状动脉闭塞性疾病的搭桥移植术:195例患者的经验报告
Ann Surg. 1971 Jun;173(6):1029-44. doi: 10.1097/00000658-197106010-00022.
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Evaluation of the pre-ejection period as an estimate of myocardial contractility in dogs.
Am J Cardiol. 1971 Apr;27(4):384-91. doi: 10.1016/0002-9149(71)90435-8.
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Influence of aortocoronary bypass surgery on left ventricular performance.
N Engl J Med. 1971 May 20;284(20):1116-20. doi: 10.1056/NEJM197105202842002.
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The physiologic parameters of ventricular function as affected by direct coronary surgery.直接冠状动脉手术对心室功能生理参数的影响。
J Thorac Cardiovasc Surg. 1970 Oct;60(4):483-90.
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Ascending aorta-to-coronary artery saphenous vein bypass grafts.升主动脉至冠状动脉大隐静脉旁路移植术
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Direct coronary arterial revascularization. Treatment of cardiac failure associated with coronary artery disease.直接冠状动脉血运重建。治疗与冠状动脉疾病相关的心力衰竭。
Arch Surg. 1971 Nov;103(5):529-34. doi: 10.1001/archsurg.1971.01350110027003.
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Assessment of myocardial contractility after coronary bypass grafts.
J Thorac Cardiovasc Surg. 1971 Oct;62(4):543-53.