[1]朱长波,洪筱舐,朱雪梅.冠状动脉粥样硬化性心脏病心功能分级与心脏超声指标的相关性[J].医学信息,2023,36(11):114-116,125.[doi:10.3969/j.issn.1006-1959.2023.11.022]
　ZHU Chang-bo,HONG Xiao-shi,ZHU Xue-mei.Correlation Between Cardiac Function Classification and Cardiac Ultrasound Indexes in Coronary Atherosclerotic Heart Disease[J].Journal of Medical Information,2023,36(11):114-116,125.[doi:10.3969/j.issn.1006-1959.2023.11.022]
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冠状动脉粥样硬化性心脏病心功能分级与心脏超声指标的相关性()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
36卷
期数:
2023年11期
页码:
114-116,125
栏目:
论著
出版日期:
2023-06-01

文章信息/Info

Title:
Correlation Between Cardiac Function Classification and Cardiac Ultrasound Indexes in Coronary Atherosclerotic Heart Disease
文章编号:
1006-1959（2023）11-0114-04
作者:
朱长波; 洪筱舐; 朱雪梅
（句容市人民医院超声科，江苏 句容 212400）
Author(s):
ZHU Chang-bo; HONG Xiao-shi; ZHU Xue-mei
(Department of Ultrasound,Jurong People’s Hospital,Jurong 212400,Jiangsu,China)
关键词:
冠状动脉粥样硬化性心脏病; 心功能分级; 心脏超声; 左心室射血分数
Keywords:
Coronary atherosclerotic heart disease; Cardiac function classification; Cardiac ultrasound; Left ventricular ejection fraction
分类号:
R541
DOI:
10.3969/j.issn.1006-1959.2023.11.022
文献标志码:
A
摘要:
目的 研究冠状动脉粥样硬化性心脏病（CHD）心功能分级与心脏超声指标的相关性。方法 以2020年1月-2021年12月句容市人民医院确诊的207例CHD患者为研究对象，依据美国纽约心脏病协会（NYHA）心功能分级分为Ⅰ级组（55例）、Ⅱ级组（53例）、Ⅲ级组（51例）、Ⅳ级组（48例）。比较各组心脏超声指标[左心室射血分数（LVEF）、左房内径（LAD）、左室舒张末期内径（LVDd）、二尖瓣口舒张早期峰值血流速度/二尖瓣环侧壁舒张早期峰值运动速度（E/e′）]，并对其相关性进行分析。结果 LVEF由高到低依次为Ⅰ级组＞Ⅱ级组＞Ⅲ级组＞Ⅳ级组（P＜0.05），LAD、LVDd、E/e′由高到低依次为Ⅳ级组＞Ⅲ级组＞Ⅱ级组＞Ⅰ级组（P＜0.05）；Spearman等级相关分析显示，LVEF与心功能分级呈负相关，LAD、LVDd、E/e′与心功能分级呈正相关（P＜0.05）；单因素及多因素Logistic回归分析显示，LVEF、LAD、LVDd为心功能分级的独立预测因子（P＜0.05）。结论 CHD患者心功能分级与心脏超声指标密切相关，其中LVEF、LAD、LVDd均为心功能分级的影响因素。
Abstract:
Objective To study the correlation between cardiac function classification and cardiac ultrasound indexes in coronary atherosclerotic heart disease (CHD).Methods A total of 207 CHD patients diagnosed in Jurong People’s Hospital from January 2020 to December 2021 were selected as the research objects. According to the New York Heart Association (NYHA) cardiac function classification, they were divided into grade Ⅰ group (55 cases), grade Ⅱ group (53 cases), grade Ⅲ group (51 cases) and grade Ⅳ group (48 cases). The echocardiography indexes [left ventricular ejection fraction (LVEF), left atrial diameter (LAD), left ventricular end-diastolic diameter (LVDd), early diastolic peak flow velocity of mitral orifice/early diastolic peak velocity of mitral annulus (E/e′)] were compared among the groups, and their correlation was analyzed.Results The LVEF index from high to low was grade Ⅰ group>grade Ⅱ group>grade Ⅲ group>grade Ⅳ group (P<0.05), LAD, LVDd, E/e′ indexes from high to low were grade Ⅳ group> grade Ⅲ group>grade Ⅱ group>grade Ⅰ group (P<0.05). Spearman rank correlation analysis showed that LVEF was negatively correlated with cardiac function classification, and LAD, LVDd and E/e′ were positively correlated with cardiac function classification (P<0.05). Univariate and multivariate Logistic regression analysis showed that LVEF, LAD and LVDd were independent predictors of cardiac function classification (P<0.05).Conclusion The cardiac function classification of CHD patients is closely related to cardiac ultrasound indexes, and LVEF, LAD and LVDd are the influencing factors of cardiac function classification.

参考文献/References:

[1]程光慧,贾慧宇,任建新,等.老年冠心病患者心功能水平及主要心脏不良事件与Ghrelin水平相关性分析[J].现代中西医结合杂志,2018,27(32):3572-3575.[2]Trybrat TA,Shut SV,Borisova ZO,et al.Some characteristics of the course of coronary heart disease with a comorbid pathology[J].The Medical and Ecological Problems,2020,24(1-2):8-11.[3]李忠超,何燕.MRI与二维超声心动图评价冠心病心功能及其与NYHA分级的关系[J].中国CT和MRI杂志,2021,19(3):77-80.[4]Sirtori CR,Labombarda F,Castelnuovo S,et al. The use of echocardiography for the non-invasive evaluation of coronary artery disease[J].Annals of Medicine,2017,49(2):134-141.[5]杨荣萍,苟廷芬,许先奎.心脏彩色超声联合颈动脉超声检查在疑似冠心病诊断中的意义[J].心脑血管病防治,2020,20(1):86-88.[6]林果为,王吉耀,葛均波.实用内科学(15版)[M].北京:人民卫生出版社,2017:964-993.[7]Cademartiri F,Casolo G,Clemente A,et al.Coronary CT angiography:a guide to examination, interpretation, and clinical indications[J].Expert Rev Cardiovasc Ther,2021,19(5):413-425.[8]王良玉,郑逸,周绮平,等.冠心病左室应变及扭转与临床心功能分级的相关性[J].安徽医科大学学报,2017,52(1):121-124.[9]周成礼,房袁媛.动态动脉硬化指数和颈动脉超声相关参数与冠状动脉粥样硬化性心脏病的关系[J].临床超声医学杂志,2017,19(7):444-448.[10]张迪铭,张晓峰,李俊.心脏彩色多普勒超声和血脂诊断冠心病的临床价值[J].第二军医大学学报,2019,40(7):776-781.[11]肖黎,戴晓燕,鄢万里,等.彩色多普勒超声定量评价冠心病患者左心房、左心室功能的诊断意义[J].现代生物医学进展,2017,17(31):6163-6166.[12]权贤芳,罗永科,李培英,等.超声心动图对心肌梗死后心力衰竭患者左心功能的评估[J].西部医学,2017,29(7):994-999.[13]Gan LM,Svedlund S,Wittfeldt A,et al.Incremental Value of Transthoracic Doppler Echocardiography-Assessed Coronary Flow Reserve in Patients With Suspected Myocardial Ischemia Undergoing Myocardial Perfusion Scintigraphy[J].J Am Heart Assoc,2017,6(4):e004875.[14]孙炎华,林如明,赖兆新,等.平板运动试验联合心脏彩超诊断冠心病及其病变程度的意义[J].心血管康复医学杂志,2019,28(6):695-697．[15]姚宏英,杨胜利,杨勇,等.超声心动图评价慢性心力衰竭患者右心室功能障碍及其与左心室射血分数的关系[J].中国临床医生杂志,2018,46(3):285-287.[16]齐翌婷,但家立,晁晶,等.超声心动图对慢性心功能衰竭患者的左心功能评价的价值[J].医学影像学杂志,2017,27(8):1592-1594.[17]Islam M,Ali MA,Ferdaushi UH,et al.Clinical, Electrocardiographic and Echocardiographic Profile of Ischemic Cardiomyopathy: An analysis of 100 cases[J].Bangladesh Heart Journal,2021,35(2):121-127.[18]潘贵钦,陈燕红.冠状动脉粥样硬化性心脏病心功能分级与心脏超声指标的相关性分析[J].临床超声医学杂志,2018,20(9):635-637.[19]蔡燕娟,陈权,何厚洪.射血分数保留性心力衰竭病人超声心动图特征及心功能分级与血UA、NT-proBNP的关系[J].中西医结合心脑血管病杂志,2021,19(10):1703-1706.[20]O’Driscoll J,Hawkes W,Beqiri A,et al.Fully automated left ventricular ejection fraction and global longitudinal strain predicts obstructive coronary artery disease in patients undergoing stress echocardiography: a multi-centre study[J].European Heart Journal,2021,42(1):724.[21]王卓清,李永豪,李玉茜,等.冠心病患者冠状动脉病变程度与心功能关系的临床研究[J].重庆医学,2018,47(17):2309-2311.

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更新日期/Last Update: 1900-01-01