门外科手术对左心室收缩功能的影响,长期患有 mitra 排泄症的患者
1Department of Internal Medicine, University of Michigan, Ann Arbor, USA.
Circulation
|August 15, 1995
概括
中心手术显著改善了长期中心回患者的左心室收缩功能. 这种干预是建议的,特别是对于手术前保持射出分数的患者.
科学领域:
- 心脏病学 心脏病学
- 心血管外科心血管外科
- 心脏生理学 心脏生理学
背景情况:
- 长期的 mitra 反会导致左心室收缩功能受损.
- 手术干预后这种损伤的可逆性是一个关键的临床问题.
研究的目的:
- 测试假设,左心室收缩功能改善后成功的门手术在患者长期腹.
- 为了评估手术后左心室动脉合和左心室效率的变化.
主要方法:
- 研究了15名患者,在成功的门手术前和1年后,他们患有长期的甲骨管吐.
- 获得了微力仪左心室压力和放射性核素血管图.
- 评估左心室动脉合 (Ees, Ea) 和左心室效率.
主要成果:
- 成功的 mitra 门手术导致吐指数降低和左心室体积减少.
- 左心室收缩指数 (Ees) 在手术后显著增加 (0.95至2.62毫米克/毫升,P<.01).
- 左心室效率显著提高 (0.23至0.55,P<.0001),心室动脉合得到改善.
结论:
- 左心室收缩功能障碍与长期的 mitra 吐相关,在手术后通常是可逆的.
- 推进行中枢手术,以保持左心室收缩能力,特别是在保留射出分数和较少手术前损伤的患者中.
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