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人的右心室能否产生提示抽吸作用的舒张期负压?

Can the human right ventricle create a negative diastolic pressure suggestive of suction?

作者信息

Sabbah H N, Anbe D T, Stein P D

出版信息

Cathet Cardiovasc Diagn. 1981;7(3):259-67. doi: 10.1002/ccd.1810070305.

Abstract

Pressure in the right ventricle (RV) as well as the right atrium (RA) and pulmonary artery (PA) were measured in 80 patients with catheter-tip micromanometers and evaluated to determine if the pressures are compatible with the concept of RV diastolic suction. In 40 patients with normal PA pressure, minimal RV diastolic pressure that occurred during early filling, was negative (-2 +/- 0.3 mm Hg) (mean +/- SEM). In 29 patients with PA hypertension, minimal RV diastolic pressure during expiration also was negative (-2 +/- 0.7 mm Hg). In 11 patients with right ventricular failure, however, minimal RV diastolic pressure was positive (9 +/- 2 mm Hg). These results indicate that the human right ventricle, in the absence of failure, has a negative early diastolic pressure, which may reflect RV diastolic suction.

摘要

用导管顶端微测压计对80例患者的右心室(RV)、右心房(RA)和肺动脉(PA)压力进行了测量,并进行评估以确定这些压力是否与右心室舒张期抽吸概念相符。在40例肺动脉压力正常的患者中,早期充盈时出现的最小右心室舒张压为负值(-2±0.3 mmHg)(平均值±标准误)。在29例肺动脉高压患者中,呼气时的最小右心室舒张压也为负值(-2±0.7 mmHg)。然而,在11例右心室衰竭患者中,最小右心室舒张压为正值(9±2 mmHg)。这些结果表明,在没有衰竭的情况下,人类右心室舒张早期压力为负,这可能反映了右心室舒张期抽吸。

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