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高血压患者升主动脉壁运动速度与左室重构的相关性研究

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目的::探讨高血压患者升主动脉前壁运动速度与左室重构的相关性。方法:入选研究对象为原发高血压患者100例及健康对照组50人,二维超声测量计算左室质量指数(LVMI)、相对室壁厚度(RWT),M超测量计算升主动脉扩张性(AD)及动脉僵硬度(ASI)应用QTVI技术获得升主动脉前壁运动速度曲线,测量收缩期峰值速度(Vs)、舒张早期峰值速度(Ve)及舒张晚期峰值速度(Va)。结果:1.高血压组升主动脉前壁运动速度Vs、Ve均较对照组减低(P均<0.05),Vs、Ve与ASI呈显著负相关,与ADC呈显著正相关(P均<0.01)。2.升主动脉前壁运动速度Vs、Ve均与RWT呈负相关(P<0.05),与LVMI呈显著负相关(P<0.01)。结论:高血压患者升主动脉前壁运动速度与左室重构紧密相关。
objective To investigate the reationship between Left ventricular remodeling and ascending aortic anterior wall motion ve-locity in Patients with Essential Hypertension .Methods:Study subjects were 100 hypertensive subjects and 50 normal controlled subjects. Left ventricular mass index(LVMI) and relative wall thickness(RWT ) were by using two dimensional ultrasound, Ascending aorta distensi-bility (AD)and aortic stiffness index( ASI)were checked through M type ultrasound . We examined aortic upper wall by using quantitative tissue velocity imaging (QTVI)and measure systolic velocities Vs,early diastolic velocities Ve,late diastolic velocities Va.Results1.Ob-tained by QTVI technique in hypertensive patients with anterior wall of ascending aorta velocity of Vs, Ve were lower than the control group (all P<0.05), is negatively related to Vs, Ve and ASI, and positively correlated with ADC (P<0.01).2 The anterior wall of ascending aorta velocity Vs, Ve were negatively correlated with RWT (P<0.05), was negatively correlated with LVMI (P<0.01)Conclusion Left ven-tricular remodeling and ascending aortic anterior wall motion velocity is closely related in patients with essential hypertension.

Quantitative tissue velocity imagingEssential hypertensionleft ventricular mass index Left ventricular remodeling

鲍永慧、罗红缨、颜林淋、唐薇薇

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湘南学院医学影像系423000

湘南学院附属医院423000

定量组织速度成像 高血压 左室质量指数 左室重构

湘南学院科学研究项目资助

2013YZ52

2015

延边医学

延边医学

ISSN:
年,卷(期):2015.(10)
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