川北医学院学报2017，Vol.32Issue(2)：202-204,217,4.DOI:10.3969/j.issn.1005-3697.2017.02.014
超声心动图评价单纯主动吸烟及吸烟合并高血压者的左心室功能
The evaluation of left ventricular function about smoking and smoking complicating with hypertension
摘要
Abstract
Objective:Through the use of echocardiography,we detect left ventricular function of smoking and smoking complicating with hypertension,and the impact on left ventricular function of both,and the difference between systolic and diastolic function.Methods:30 cases of non smokers,31 cases simple smoking people,23 cases of smoking people with hypertension,then apply two-dimensional ultrasound,pulse Doppler and tissue Doppler to detect and analyze the left ventricular diastolic,systolic function index of the three groups,such as end systolic left atrium diameter (LA),early diastolic mitral flow velocity (E),late diastolic flow velocity (A),E/A,early diastolic mitral annular velocity of the (Em),late diastole (Am),Em/Am,E/Em,isovolumic relaxation time (IVRT),E deceleration time (EDT),pulmonary vein S peak/D peak (Vs/Vd),AR wave duration (ARD),left ventricular shortening (FS),left ventricular ejection fraction (EF),left ventricular muscle mass index (LVMI),and analysis the influence of age,heart rate,systolic blood pressure,diastolic blood pressure,pulse pressure,the year of smoking and smoking index on the different indicators between groups.Results:Smoking with hypertension group LVMI,LA,A,E/Em,EDT,ARD was higher than the normal group (P<0.05),simple smoking group ARD was higher than normal group (P<0.05),smoking with hypertension group ARD was higher than simply smoking group (P<0.05).Em in smoking with hypertension group was lower than simple smoking group and normal group (P<0.05).E,Am,Vs / Vd,FS,EF among the three groups showed no significant difference (P>0.05).Multiple regression showed that smoking combined with hypertension systolic blood pressure affected the LA,heart rate affected ARD,the smoking years affected the A,pulse pressure affected the Em.Smoking combined with hypertension systolic blood pressure,diastolic blood pressure,pulse pressure higher than that in simple smoking group and normal group (P<0.05).There was no difference between simple smoking group and the normal group of systolic blood pressure,diastolic blood pressure and pulse pressure (P>0.05).Conclusion:Smoking reduced some left ventricular diastolic function index,hypertension increase the influence of smoking on diastolic function.关键词
超声心动图/吸烟/高血压/左心室/舒张功能Key words
Echocardiography/Cigarette smoking/Hypertension/Left ventricular/Diastolic function分类
医药卫生引用本文复制引用
唐雪梅,顾鹏,张军辉..超声心动图评价单纯主动吸烟及吸烟合并高血压者的左心室功能[J].川北医学院学报,2017,32(2):202-204,217,4.基金项目
四川省卫生厅课题(100149) （100149）
