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在解读经多普勒评估的肺动脉压力时,应考虑患者的年龄。

The age of the patient should be taken into account when interpreting Doppler assessed pulmonary artery pressures.

作者信息

Dib J C, Abergel E, Rovani C, Raffoul H, Diebold B

机构信息

Department of Cardiology, Broussais Hospital, Paris, France.

出版信息

J Am Soc Echocardiogr. 1997 Jan-Feb;10(1):72-3. doi: 10.1016/s0894-7317(97)80035-1.

Abstract

The impact of aging on the systolic artery pressure (SPAP) value is not well known. We selected 134 echocardiographic Doppler examinations considered as normal (presence of a sinus rhythm, absence of chronic obstructive pulmonary disease or pulmonary embolism, normal global or segmental wall motion, no right or left ventricular hypertrophy or dilatation, no significant valvular disease, no pericarditis), with a clearly measurable tricuspid insufficiency allowing us to measure the SPAP with the simplified Bernoulli equation. There was a highly significant (p = 0.0001) correlation (r = 0.47) between SPAP values and the age of the patient. SPAP increased progressively with age from 23 +/- 5 mm Hg between 20 to 29 years old to 32 +/- 6 mm Hg when 80 years old or more. The interpretation of the SPAP should take into account the age.

摘要

衰老对收缩期动脉压(SPAP)值的影响尚不明确。我们选取了134例经超声心动图多普勒检查判定为正常的病例(存在窦性心律,无慢性阻塞性肺疾病或肺栓塞,整体或节段性室壁运动正常,无右心室或左心室肥厚或扩张,无明显瓣膜疾病,无心包炎),这些病例存在可清晰测量的三尖瓣反流,从而使我们能够用简化的伯努利方程测量SPAP。SPAP值与患者年龄之间存在高度显著的相关性(p = 0.0001,r = 0.47)。SPAP随年龄增长而逐渐升高,从20至29岁时的23±5 mmHg升高到80岁及以上时的32±6 mmHg。对SPAP的解读应考虑到年龄因素。

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