在长期炼后的左心室功能障碍,在Fallot四重症完全修复后
C Kondo1, M Nakazawa, K Kusakabe
1Department of Pediatric Cardiology, Tokyo Women's Medical College, Japan.
Circulation
|November 1, 1995
概括
长期修复Fallot四重律显示出良好的生存率,但运动心脏表现可能会受到影响. 手术后的肺吐可能导致炼期间隐藏的左心室功能障碍.
科学领域:
- 心脏病学 心脏病学
- 儿科心脏手术 儿科心脏手术
- 心血管生理学心血管生理学
背景情况:
- 费洛修复四重症后的长期存活率非常好.
- 关于运动心脏表现的术后后果仍然不清楚.
研究的目的:
- 在法洛修复四重法后,在运动期间调查长期心脏表现.
- 确定影响这些患者运动能力的因素.
主要方法:
- 放射性核素第一次通道腹腔镜在29名患者16年后的修复.
- 休息和峰值运动时的评估,与10个对照组相比.
- 测量了心室排气分数,体积和左心室透静功能.
主要成果:
- 心脏输出在休息和运动期间被保留.
- 左心室喷射分数对运动的反应被抑制.
- 运动LVEF与右心室大小和肺反的严重程度相反相关.
结论:
- 运动期间隐藏的左心室功能障碍与由肺反引起的右心室扩大有关.
- 显著的肺吐患者需要谨慎的长期随访.
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