在新诊断的高血压患者中,多普勒衍生的左心室透气功能障碍的患病率
I G Abubakar1, F Buba1,2, A I Oyati3,4
1Department of Medicine, Cardiology Unit, University of Maiduguri Teaching Hospital, Nigeria.
Nigerian journal of clinical practice
|December 4, 2023
概括
左心室扩张功能障碍 (LVDD) 在新诊断的高血压患者中很常见,特别是在女性中. 早期发现和管理LVDD对于预防心脏病进展至关重要.
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:
- 左心室扩张功能障碍 (LVDD) 是高血压心脏病 (HHD) 的早期指标,通常与左心室缩 (LVH) 和放松障碍有关.
- 未经治疗的LVDD可能会发展为透析性和收缩性心力衰竭,与西方国家相比,尼日利亚高血压人口的患病率更高.
- 早期的LVDD评估和血压控制至关重要,因为系统性高血压最初可能无症状.
研究的目的:
- 在新诊断的高血压患者中确定左心室扩张功能障碍 (LVDD) 的患病率和阶段.
- 在迈杜古里大学教学医院 (UMTH) 的患者中评估LVDD.
主要方法:
- 进行了一项基于医院的,横截面的观察性研究.
- 包括352名从UMTH心脏病诊所 (2019年6月至2021年6月) 前未接受过治疗的高血压成年患者 (≥18岁).
- 对LVDD和LVH的诊断标准是基于美国心声学会和欧洲心血管成像协会的指导方针.
主要成果:
- 在352名新诊断的高血压患者中,58.5%的人患有LVDD (平均年龄为50.9±11.8岁,54.3%为女性).
- 第1阶段LVDD (42.6%) 是最常见的,其次是第2阶段 (15.9%).
- 在女性,老年患者和BMI,血压,LAVI和LVMI较高的患者中,LVDD的患病率更高.
结论:
- 左心室扩张功能障碍 (LVDD) 在新诊断的高血压患者中非常普遍,第一阶段是最常见的.
- 显著的LVDD预测因素包括女性性别,年龄较大,BMI较高,血压升高以及LAVI和LVMI增加.
- 早期发现和管理LVDD对于预防高血压患者的不良心血管结果至关重要.
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