期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

左心室舒张性心力衰竭的诊断和治疗进展 被引量：2

下载PDF
导出
摘要 左心室舒张性心力衰竭（diastolic heart failure，DHF）是指在左心室收缩功能正常的情况下，心室松弛性和顺应性减低，使心室充盈减少和充盈压升高而导致的肺循环或体循环瘀血的临床综合征。DHF具有心力衰竭共有的症状和体征，但是以心室收缩功能正常而舒张功能异常为特征。DHF发生率约占全部心衰病人的20％～40％，在老年患者中发病率较高。一般认为约1／3的充血性心力衰竭（CHF）患者属于单纯DHF．而DHF的预后差别很大。舒张性心力衰竭与收缩性心力衰竭在发病机制、治疗方案及临床预后等方面都有很大的差异。正确识别和评价心脏舒张功能，早期和准确判断DHF具有重要的临床意义。本文仅对左室DHF的诊断和治疗做一概述。
作者 郝瑞瑞 王惠吉
机构地区 首都医科大学附属北京友谊医院综合科
出处 《心血管康复医学杂志》 CAS 2006年第3期306-308,共3页 Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词 心力衰竭 诊断 治疗
分类号 R541.61 [医药卫生—心血管疾病]
  • 相关文献

参考文献12

  • 1Zile MR, Brutsaert DL. New concepts in diastolic dysfunction and diastolic heart failure [J]. Circulation, 2002, 105: 1387-1393.
  • 2Singh A, Blackwell J, Neher J, Clinical inqures. Does fuorsemide decrease morbidity or mortality for patients with diastolic or systolic dysfuntion [J]. J Fam Pract, 2005, 54 (4): 370-372.
  • 3Schmidt AG, Pieske B. Diastolic heart failure-diagnostics [J].Dtsch Med Wochenschr, 2005, 130 (19): 1208-1212.
  • 4Vasan RS, Levy D. Defining diastolic heart failure: A call for standardized diagnostic criteria [J]. Circuation, 2000, 102: 2118.
  • 5Galderisi M. Diastolic dysfunction and diastolic heart failure: diagnostic, prognostic and therapeuic aspects [J]. Cardiovasc Ultrasound, 2005, 3 (1): 9.
  • 6Van Kraaij DJW, Jansen RWMM, Bouwels LHR, et al. Fuorsemde withdrawal in eldery heart failure patients with preserved left ventricular systolic function [J], Am J Cardiol, 2000, 85: 1461-1466.
  • 7Aronow WS, Ahn C, Kronzon I. Effect of propranolol versus no propranolol on total mortality plus nonfatal myocardial infarction in older patients with prior myocardial infarction, congestive heart failure and left ventricular ejection fraction≥40% treated with diuretics plus angiotensin-converting-enzyme inhibitors [J], Am J Cardiol, 1997, 80: 207-209.
  • 8Aronow WS. Left ventricular diastolic heart failure with normal left ventricuar systolic function in older persons [J]. J Lab Clin Med, 2001, 137: 316-323.
  • 9Philin EF, Rocco TA. Lindenmuth NW, et al. Systolic versus diastolic heart failure in community practice: clinical features, outcomes, and the use of angiotensin-converting enzyme inhibitors [J]. Am J Med, 2000, 109, 605-613.
  • 10Cohn JN, Johnson G. Veterans administration cooperative study group. Heart failure with normal ejection fraction. The V-HeFT study [J]. Circulation, 1990, 81 (Suppl Ⅲ): 48-53.

二级参考文献12

  • 1Hoflinann U, Globits S,Stefenelli T, et al .The effects of ACE inhibitor therapy on left ventricular myocardial mass and diastolic filling in previously untreated hypertensive patients : a cine MRI study [ J ]. J Magn Reson Imaging, 2001,14 : 16-22.
  • 2Pitt B,Segal R,Martinez FA, et al. Randomised trial of losartan versus captopril in patients over 65 with heart failure (Evaluation of Eosartan in the Elderly Study. ELITE) [ J], Lancet, 1997, 349: 747-752.
  • 3Pitt B, Poole-Wilson PA, Segal R, et al. Effect of losartan compared with captopril on mortality in patients with symptomatic heart failure:randomized trial-the Losartan Heart Failure Survival Study ELITE Ⅱ [J] . Lancet,2000,355 : 1582-1587.
  • 4Cohn JN, Johnson G. Veterans Administration Cooperative Study Group. Heart failure with normal ejection fraction. The V-HeFF study[J]. Circulation, 1990,81(Suppl Ⅲ) : Ⅲ48-Ⅲ53.
  • 5Packer M, Poole-Wilson PA, Armstrong PW, et al. Comparative effects of low and high doses of the angiotensln-converting enzyme inhibitor,lislnopril,on morbidity and mortality in chronic heart failure[J]. Circulation, 1999, 100:2312-2318.
  • 6Yip GW, Ho PP, Woo KS, et al. Comparison of frequencies of left systolic and diastolic heart in Chinese living in Hong Kong [ J ]. Am J Cardiol, 1999,84 : 563-567.
  • 7Vasan RS, Levy D. Defining diastolic heart failure,: a call for standardized diatmostic criteria[J]. Circulation,2000, 102:2118-2121.
  • 8Mandinov L, Eberli FIR, Seiler C, et al. Diastolic heart failure[J].Cardiovasc Res, 2000,45 : 813-825.
  • 9Aronow WS. Left ventricular diastolic heart failure with normal left ventricular systolic function in older persons [ J ]. J Lab Clin Meal,2001,137 : 316-323.
  • 10Van Kraaij DJW, Jansen RWMM, Bouwels LHR, et ol. Furosemide withdrawal in elderly heart failure palients with preserved left ventricular systolic function[J]. Am J Cardlol, 2000,85 : 1461-1466.

共引文献1

同被引文献25

引证文献2

二级引证文献6

心血管康复医学杂志
2006年 第3期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部