首都医科大学学报 ›› 1997, Vol. 18 ›› Issue (4): 333-336.

• 论著 • 上一篇    下一篇

年龄、心率与左室充盈参数的相关性分析

张化冬, 于东明, 李继红   

  1. 首都医科大学附属北京天坛医院心内科
  • 收稿日期:1996-12-05 修回日期:1900-01-01 出版日期:1997-10-15 发布日期:2013-10-28

Relational Analysis of Age and Heart Rate with the Measurements of Left Ventricular Filling by Doppler Echocardiography

Zhang Huadong, Yu Dongming, Li Jihong   

  1. Cardiovascular Department, Bejing Tiantan Hospital, Affiliate of Capital University of Medical Sciences
  • Received:1996-12-05 Revised:1900-01-01 Online:1997-10-15 Published:2013-10-28

摘要: 用多普勒超声心动图对74例正常人的左室二尖瓣舒张期血流进行测定,并将此参数与心率、年龄进行多元线性回归分析,以确定年龄、心率对左室充盈参数的影响。结果:房缩期血流峰值(A峰)及舒张早期血流峰值(E峰)、E/A比值与心率、年龄相关密切(R=0.66 0.65P<0.001)。年龄每增加10岁,A值增加5.9(95%CI5.0~6.8),E/A减少0.21(95%CI0.18~0.24),心率每增加5次/min,A值增加2.33(1.80~2.85),E/A减少0.06(0.03~0.09)。根据回归方程及95%容许区间,制定心率、年龄左室充盈参数预测表,通过校正心率、年龄对左室充盈参数的影响,可以正确估价左室舒张功能的变化。

关键词: 多普勒超声心动图, 左室舒张功能, 年龄, 心率

Abstract: 74 subjects,aged 14~76 years,with heart rate range 55~104 bpm with no evidence of cardiovascular disease were included in this study. To determine the normal range of pulsed Doppler measurements of left ventricular filling multiple regression was used to analyse the effects of age and heart rate on the measurements. The regression equation was used to calculate the predicted normal values adjusted by age and heart rate within 95% confidence interval (95% CI) and the age,heart rate predicted value table was made. The peak atrial filling velocity (A) and peak early filling velocity/peak atrial filling velocity (E/A) were significantly correlated with heart rate and age (R=0.66, 0.65P <0.001) .With every 10 years increase in age,an increase in 5.9 (95% CI 5.0~6.8)cm/s,E/Adecrease in 0.21 (0.18~0.24) and with every 5 beats increase in heart rate an increase in 2.33 ( 1.80~2.85 )cm/s and E/Adecrease in 0.06 ( 0.03~0.09 ) were found. With predicted values,changes of diastolic function could be assessed.

Key words: diastolic function, Doppler echocardiography, age, heart rate

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