Koegler A, Roul G, Bareiss P, Gries P, Moulichon M E, Sacrez J, Germain P, Mossard J M, Sacrez A
Service de cardiologie, CHRU de Strasbourg, hôpital de Hautepierre, Strasbourg.
Arch Mal Coeur Vaiss. 1995 Jul;88(7):961-6.
Heart failure with normal systolic function has been recognised in 30-40% of patients investigated for congestive heart failure. The authors undertook a retrospective study of global and cardiovascular mortality at 4 years in two groups of patients with a history of congestive heart failure documented by equilibrium angioscintigraphy: group I (n = 109) with poor left ventricular systolic function (EF = 26 +/- 9%) and group II (n = 40) with normal systolic function (EF = 58 +/- 8%). The 4 year cardiovascular mortality was less in group II (21.6% vs 49%; p < 0.004) whereas the global mortality was comparable in the two groups. The only discriminating parameters for cardiovascular mortality between the two groups were age of more than 60 years and values of diastolic blood pressure exceeding 90 mmHg which were associated with a higher mortality in the group with normal systolic function. These results indicate a better prognosis in terms of cardiovascular mortality from congestive heart failure in patients with normal systolic function compared with those with poor systolic function.
在因充血性心力衰竭接受检查的患者中，30% - 40%被诊断为收缩功能正常的心力衰竭。作者对两组有充血性心力衰竭病史的患者进行了一项回顾性研究，这两组患者的充血性心力衰竭病史均由平衡血管闪烁造影记录：第一组（n = 109）左心室收缩功能较差（EF = 26 ± 9%），第二组（n = 40）收缩功能正常（EF = 58 ± 8%）。第二组的4年心血管死亡率较低（21.6% 对 49%；p < 0.004），而两组的总死亡率相当。两组间心血管死亡率的唯一判别参数是年龄超过60岁和舒张压值超过90 mmHg，这与收缩功能正常组较高的死亡率相关。这些结果表明，与收缩功能较差的患者相比，收缩功能正常的患者因充血性心力衰竭导致的心血管死亡率预后更好。
