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[M型超声心动图测定特发性肥厚型心肌病左心室的舒张和收缩功能]

[Diastolic and systolic functions of the left ventricle determined by M-echocardiography in idiopathic hypertrophic cardiomyopathy].

作者信息

Tomov I, Kaloianova A, Terzieva L, Khalacheva S, Shabani R

出版信息

Vutr Boles. 1983;22(5):80-6.

PMID:6687023
Abstract

The diastolic function and the correlation between pump and diastolic function of left ventricle were studied in 35 patients with idiopathic hypertrophic cardiomyopathy with subaortic stenosis via a M-echocardiographic investigation by Echoview 80 C in the routine method. The following indices were used: A. For the diastolic function: 1. Telediastolic dimension (TDD) and volume (TDV) of left ventricular cavity. 2. Dimension (DPhFF) and volume (VPhFF) of the left ventricular cavity at the end of the phase of fast filling; 3. Velocity of fast filling of the left ventricle (ml/sec) - (formula; see text) 4. Fraction of fast filling of left ventricle (%) - (formula; see text) 5. Velocity of backward motion of the anterior mitral cusp at the beginning of diastole (E - F segment); 6. Velocity of early diastolic motion of the posterior wall of left ventricle (PWLV); 7. Ratio between early diastolic (D) and systolic (S) interval of PWLV: D/S; 8. Telediastolic interval (A - C) of mitral valve; 9. Index of fast emptying of left ventricle; 10. Amplitude E - E' of mitral echogram; II. Area (cm2) between two mitral cusps in diastole. B. For the systolic (pump) function: 1. Stroke and minute volume (SV, MV) of left ventricle according to the cubic formula and Teicholz formula; 2. Telesystolic dimension (TSD) and volume (TSV) of left ventricular cavity; 3. Fraction of shortening (FS) of left ventricle (%); 4. Mean velocity of shortening of the circumferential fibres (mVcf) of left ventricle (circumf./S); 5. Ejection fraction (EF) of left ventricle (%). 6. Distance between left ventricular endocardium of interventricular septum and point E of mitral valve; 7. Fraction of systolic thickening of IVS and PWLV; 8. Velocity of systolic thickening of IVS and PWLV; 9. Amplitude of systolic motion of IVS and PWLV.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

采用Echoview 80 C型超声心动图仪,通过常规M型超声心动图检查方法,对35例伴有主动脉瓣下狭窄的特发性肥厚型心肌病患者的舒张功能以及左心室泵血功能与舒张功能之间的相关性进行了研究。使用了以下指标:A. 舒张功能指标:1. 左心室腔舒张末期内径(TDD)和容积(TDV);2. 快速充盈期末左心室腔内径(DPhFF)和容积(VPhFF);3. 左心室快速充盈速度(ml/秒)(公式见正文);4. 左心室快速充盈分数(%)(公式见正文);5. 舒张期开始时二尖瓣前叶向后运动速度(E - F段);6. 左心室后壁舒张早期运动速度(PWLV);7. PWLV舒张早期(D)与收缩期(S)间期之比:D/S;8. 二尖瓣舒张末期间期(A - C);9. 左心室快速排空指数;10. 二尖瓣超声心动图E - E'幅度;11. 舒张期二尖瓣两瓣叶间面积(cm²)。B. 收缩期(泵血)功能指标:1. 根据立方公式和Teichholz公式计算的左心室每搏量和每分输出量(SV,MV);2. 左心室腔收缩末期内径(TSD)和容积(TSV);3. 左心室缩短分数(FS)(%);4. 左心室圆周纤维平均缩短速度(mVcf)(圆周/秒);5. 左心室射血分数(EF)(%);6. 室间隔左心内膜与二尖瓣E点之间的距离;7. 室间隔和左心室后壁收缩期增厚分数;8. 室间隔和左心室后壁收缩期增厚速度;9. 室间隔和左心室后壁收缩期运动幅度。(摘要截选至250字)

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