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实时三维超声心动图对阻塞性睡眠呼吸暂停综合征患者早期左房功能的评估 被引量:1

Early left atrial functional alterations in patients with obstructive sleep apnea hypopnea syndrome
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摘要 目的:采用实时三维超声心动图(RT-3DE)评估未合并高血压的阻塞性睡眠呼吸暂停综合征(OSAHS)患者左房功能的早期改变。方法:共纳入了74例接受了多导睡眠监测(PSG)的患者,根据呼吸暂停-低通气指数(AHI)将受试者分为两组(Group 1:AHI<15,Group 2:AHI≥15)。PSG检查后,通过使用实时三维声心动图方法评估其左房结构和功能。结果:与Group 1相比,Group 2组室间隔(IVS)厚度明显增厚,左房内径(LAD)显著增加,E/e’明显升高。与Group 1相比,Group 2 RT-3DE显示LAVmax、LAVmax/BSA、LAVpre/BSA均增加,且LAVtEV、LAVaEV LAVtEF和LAVaEF亦增加,差异均有统计学意义。结论:单纯OSAHS患者随着AHI指数增高,其左房结构和功能发生变化,提示改善呼吸睡眠暂停的状况对改善心脏功能的价值。
作者 杨惠 王静 秦丫红 赵帆 褚嫒嫒 Yang Hui;Wang Jing;Qin Yahong;Zhao Fan;Chu Aiai
出处 《甘肃医药》 2021年第9期794-797,共4页 Gansu Medical Journal
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