|本期目录/Table of Contents|

[1]李妍姣,曾思,郑罡,等.镜像右位心老年人与正常老年人心功能指标的比较研究[J].医学研究与战创伤救治(原医学研究生学报),2017,19(06):573-575.[doi:10.3969/j.issn.1672-271X.2017.06.004]
　LI Yan-jiao,ZENG Si,ZHENG Gang,et al.Comparative study on elderly mirror-image dextrocardia patients and the normal elderly[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2017,19(06):573-575.[doi:10.3969/j.issn.1672-271X.2017.06.004]
点击复制

镜像右位心老年人与正常老年人心功能指标的比较研究()
分享到62.8K

《医学研究与战创伤救治》（原医学研究生学报）[ISSN:1672-271X/CN:32-1713/R]

卷:
第19卷
期数:
2017年06期
页码:
573-575
栏目:
出版日期:
2017-11-23

文章信息/Info

Title:
Comparative study on elderly mirror-image dextrocardia patients and the normal elderly
作者:
李妍姣1; 曾思1; 郑罡2; 陈潇洁1; 关富1; 欧阳林1
作者单位：1. 363000漳州，厦门大学医学院附属东南医院医学影像科；2. 210002南京，南京航空航天大学
Author(s):
LI Yan-jiao1; ZENG Si1; ZHENG Gang2; CHEN Xiao-jie1; GUAN Fu1; OUYANG Lin1
(1.Department of Medical Imaging, Southeast Hospital Affiliated to Medical College of Xiamen University, Zhangzhou 363000，Fujian，China；2.Nanjing University of Aeronautics and Astronautics，Nanjing 210002, Jiangsu，China)
关键词:
镜像右位心老年人; 正常老年人; 心功能; 彩色多普勒超声心动图
Keywords:
Elderly mirror-image dextrocardia; The normal elderly;  Cardiac function;  Color doppler echocardiography
分类号:
R541.1
DOI:
10.3969/j.issn.1672-271X.2017.06.004
文献标志码:
A
摘要:
目的研究对比静息状态下镜像右位心老年人与正常老年人的心功能指标的差异，为相应老年人镜像右位心患者心功能退化和心衰的发生发展提供参考。方法回顾性分析厦门大学附属东南医院2006年2月至2016年7月经超声心动图及胸片诊断为镜像右位心且不合并其他异常畸形的老年患者12例（其中男7例，女5例）临床资料，与12例老年正常心志愿者对比分析左心室射血分数(EF)、左心室缩短分数(FS)、心率(HR)、每搏输出量(SV)、每分输出量(CO)等心功能指标，比较两者间是否存在明显差异。 结果镜像右位心老年患者的心率、左室射血分数、左心室缩短分数、每搏输出量、每分输出量分别为（83±12.79）次/min、（0.61±0.58）、（0.32±0.40）、（57.82±11.90）mL和（4.84±1.42）L/min，正常老年人分别为（71.71±11.92）次/min、（0.61±0.57）、（0.32±0.46）、（58.71±11.78）mL和（4.22±1.22）L/min。2组人群比较，心率差异有统计学意义(P<0.05)，而左室射血分数、左心室缩短分数、每搏输出量、每分输出量差异无统计学意(P>0.05)。结论镜像右位心老年患者的心率比正常老年人心率快，而其他心功能指标则无明显区别。
Abstract:
ObjectiveBy comparing the differences of heart function between the mirror-image dextrocardia elderly and the normal elderly in the resting state, to provide a reference for the development of heart failure and heart failure in the elderly mirror-image dextrocardia patients.MethodsWe collect separately 12 diagnosed with mirror-image dextrocardia elderly (including 7 males and 5 females) by echocardiography and chest radiographs and 12 normal elderly in the southeast hospital of Xiamen University from February 2006 to July 2016, compared and analyzed cardiac function indicators as follows: Left ventricular ejection fraction (EF), left ventricular shortening score (FS), heart rate (HR), stroke volume (SV), and output per minute (CO), and to determine whether there is a difference between the two elderly.ResultsThe right heart rate, left ventricular ejection fraction, left ventricular shortening score, stroke volume, and per minute output of the mirror-image dextrocardia elderly are (83±12.79) t/min, (0.61±0.58), (0.32±0.40), (57.82±11.90) mL, and (4.84±1.42) L/min，respectively. And the normal elderly are (71.71±11.92) t/min, (0.61±0.57), (0.32±0.46), (58.71±11.78) mL, and (4.22±1.22) L/min, respectively. There are significant differences in heart function between the two groups (P<0.05), but there are no significant difference between the left ventricular ejection fraction, the left ventricular shortening score and the stroke volume per stroke (P>0.05).ConclusionThe heart rate of the elderly patients with mirror-image dextrocardia is faster than the normal elderly, and the cardiac function index of the left ventricular ejection fraction, left ventricular shortening score, stroke volume are no obvious difference.

参考文献/References:

[1]Offen S, Jackson D, Canniffe C, et al.Dextrocardia in adults with congenital heart disease[J]. Heart Lung Circ, 2016，25(4): 352-357.
[2]Ogunlade O, Ayoka AO, Akomolafe RO, et al. The role of electrocardiogram in the diagnosis of dextrocardia with mirror image atrial arrangement and ventricular position in a young adult Nigerian in Ile-Ife: a case report[J]. J Med Case Rep, 2015，9: 222.doi: 10.1186/s13256-015-0695-4.
[3]董凤群, 侯振洲, 陈改霞, 等.超声心动图在右位心诊断中的应用[J]. 中华超声影像学杂志, 2003，12(12): 756-757.
[4]Gatzoulis MA,Swan L. Single ventricle physiology [M].Adult Congenital Heart Disease，2009:157-173.
[5]李然, 江崇民, 蔡睿,等.运动后恢复期心率对心功能的评价——台阶指数对不同年龄段人群心功能评价的局限性[J]. 体育科学, 2012，32(6): 81-84.
[6]Politi TR, Gutierrez PS.Case 5: a 73 year-old man with heart failure, preserved systolic function and associated renal failure[J]. Arq Bras Cardiol, 2013，101(5): e86-94.
[7]曹有年，姜文凯.正常老年人的心脏结构及左心功能改变[J]. 心血管康复医学杂志, 1995,4(3): 11-14.
[8]Fleg JL,Strait J.Age-associated changes in cardiovascular structure and function: a fertile milieu for future disease[J]. Heart Fail Rev, 2012，17(4-5): 545-554.
[9]Arza P, Netti V, Perosi F, et al., Involvement of nitric oxide and caveolins in the age-associated functional and structural changes in a heart under osmotic stress[J]. Biomed Pharmacother, 2015，69: 380-387.
[10]Maltsev VA,Lakatta EG.Normal heart rhythm is initiated and regulated by an intracellular calcium clock within pacemaker cells[J]. Heart Lung Circ, 2007，16(5): 335-348.
[11]Fox K1, Ford I, Steg PG, et al.Heart rate as a prognostic risk factor in patients with coronary artery disease and left-ventricular systolic dysfunction (BEAUTIFUL): a subgroup analysis of a randomised controlled trial[J]. Lancet, 2008，372(9641): 817-821.
[12]Opdahl A, Ambale Venkatesh B, Fernandes VRS, et al. Fernandes, et al. Resting heart rate as predictor for left ventricular dysfunction and heart failure: MESA (Multi-Ethnic Study of Atherosclerosis)[J]. J Am Coll Cardiol, 2014，63(12): 1182-1189.
[13]Kolloch R, Legler UF, Champion A, et al. Impact of resting heart rate on outcomes in hypertensive patients with coronary artery disease: findings from the INternational VErapamil-SR/trandolapril STudy (INVEST)[J]. Eur Heart J, 2008，29(10): 1327-1334.
[14]Mant J, Al-Mohammad A, Swain S, et al. Management of chronic heart failure in adults: synopsis of the National Institute For Health and clinical excellence guideline[J]. Ann Intern Med, 2011，155(4): 252-259.
[15]王红, 张春霞, 阎丽, 等.老年慢性心力衰竭患者N末端钠尿肽前体和心率变异性与心功能的相关性[J]. 中华老年心脑血管病杂志, 2013，15(11): 1146-1148.

相似文献/References:

备注/Memo

备注/Memo:
基金项目：国家自然科学基金（81671667）；中国博士后科学基金（2015M570436）
更新日期/Last Update: 2017-11-20