基本高血压对右心室形态和功能的影响
A Minashvili1, A Rekhviashvili2, G Lomtatidze1
11Chapidze Heart Disease Center, Iv Javakhishvili Tbilisi State University, Georgia.
Georgian medical news
|November 22, 2023
概括
基本高血压显著影响右心室 (RV),导致厚化,增大和功能障碍. 在高血压患者中,透缩功能障碍比静缩功能障碍更为常见.
科学领域:
- 心脏病学 心脏病学
- 高血压研究 高血压研究
- 心声回声扫描 (Echocardiography) 是一种心声回声扫描.
背景情况:
- 基本高血压 (AH) 是一种普遍的心血管疾病.
- 对于AH对右心室 (RV) 形态和功能的影响尚未完全理解.
- 评估RV变化对于全面的心血管风险评估至关重要.
研究的目的:
- 研究基本高血压对右心室形态和功能特征的影响.
- 为了比较高血压患者和正常血压对照之间的RV参数.
- 为了确定在基本高血压中RV心和心功能障碍的患病率.
主要方法:
- 招募了75名男性高血压患者和25名男性正常血压对照.
- 对所有参与者进行24小时的门诊血压监测.
- 心脏超声波 (心声波) 评估RV形态,缩功能 (例如EF) 和腹缩功能 (例如TAPSE,E/A,E/e',E'/A').
主要成果:
- 患有高血压的患者显著增加了VR壁厚度和VR缩 (38.66%).
- 在高血压患者中,与对照人群相比,观察到VR缩功能降低 (TAPSE和EF降低).
- 患有高血压的个体表现出显著损害的RV透气功能,平均E/A和E'/A'比率较低,E/e'比率增加. 扩张性功能障碍在54.6%的高血压患者中普遍存在.
结论:
- 基本高血压对VR的形态和功能都有不利影响,导致集中重塑和高.
- 在高血压的人群中,透缩功能障碍比静缩功能障碍更为普遍.
- 高血压会影响两个心室,因此需要对高血压患者进行彻底的RV评估.
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