Seiler C, Ritter M, Widmer V, Jenni R
Universitätsspital, Departement Innere Medizin, Bern.
Schweiz Med Wochenschr. 1995 Dec 26;125(51-52):2502-5.
The purpose of the present study in patients with severe aortic stenosis was to assess prevalence, predictors and course after aortic valve replacement in patients without left ventricular hypertrophy according to echocardiographic mass criteria (LVH). 90% had LVH compared with 10% without. The following variables were associated with absence of LVH: younger age, low body surface area, and increased cardiac index. In patients with LVH, ventricular adaptation following aortic valve replacement was adequate more often than in those without. Six-month mortality following aortic valve replacement was insignificantly lower in patients with LVH (7.6%) than in those without it (12.5%, p = 0.10).
本研究针对重度主动脉瓣狭窄患者，旨在根据超声心动图质量标准（左心室肥厚，LVH）评估无左心室肥厚患者主动脉瓣置换术后的患病率、预测因素及病程。90%的患者有左心室肥厚，10%的患者无左心室肥厚。以下变量与无左心室肥厚相关：年龄较轻、体表面积较低及心脏指数增加。与无左心室肥厚的患者相比，有左心室肥厚的患者主动脉瓣置换术后心室适应性更常见。有左心室肥厚的患者主动脉瓣置换术后6个月死亡率（7.6%）略低于无左心室肥厚的患者（12.5%，p = 0.10）。
