文章摘要
严毓勤,朱雅琴,周龙女,朱健,王海云.不同类型心力衰竭合并心房颤动的临床特点及心脏结构变化[J].中国临床保健杂志,2019,22(2):247-249.
不同类型心力衰竭合并心房颤动的临床特点及心脏结构变化
The clinical features and cardiac structural changes of patients with different types of heart failure complicated with atrial fibrillation
投稿时间:2018-10-09  
DOI:10.3969/J.issn.1672-6790.2019.02.026
中文关键词: 心力衰竭  心房颤动  高血压  心脏扩大
英文关键词: Heart failure  Atrial fibrillation  Hypertension  Cardiomegaly 〖FL
基金项目:
作者单位E-mail
严毓勤 上海交通大学医学院附属第九人民医院心内科,上海 200011 haiyunjy@126.com 
朱雅琴 上海交通大学医学院附属第九人民医院心内科,上海 200011 haiyunjy@126.com 
周龙女 上海交通大学医学院附属第九人民医院急诊科,上海 200011 haiyunjy@126.com 
朱健 上海交通大学医学院附属第九人民医院急诊科,上海 200011 haiyunjy@126.com 
王海云 上海交通大学医学院附属第九人民医院急诊科,上海 200011 haiyunjy@126.com 
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中文摘要:
      目的 探讨不同类型心力衰竭患者并发房颤的临床特点及心脏结构改变。 方法 采用回顾性分析法,收集并分析慢性心力衰竭患者401例的临床资料。按照有无房颤分组,比较两组患者在发病年龄、性别、基础病因等方面的情况,对比两组心脏结构改变。 结果 高血压和冠心病是心力衰竭的主要病因,高血压引起房颤的发病率远高于其他病因。舒张性心衰明显比收缩性心衰更容易发生房颤(χ2=3.948,P<0.05),而急性心衰与慢性心衰发生房颤的比例无差别;心衰的合并症的个数与房颤无关,合并糖尿病、肾功能不全不会增加房颤的发生率,而心衰合并高血压更容易并发房颤。心衰房颤组左心房内径比非房颤组明显增大(P<0.01),而左室内径及室壁厚度无明显差别。 结论 心衰合并高血压者及舒张性心衰患者更容易并发心房颤动,房颤发生与患者的心房增大相关。
英文摘要:
      Objective To explore the clinical features and cardiac structural changes of patients with different types of heart failure complicated with atrial fibrillation. Methods By using retrospective analysis,the clinical information of 401 patients with chronic heart failure was collected and analyzed.Patients were divided into two groups according to atrial fibrillation,age of onset,sex and basic cause and changes of heart structures compared between two groups. Results The main causes of heart failure were hypertension and coronary heart disease.The incidence of atrial fibrillation caused by hypertension was much higher than other causes.Diastolic heart failure was significantly more likely to develop atrial fibrillation than systolic heart failure (χ2=3.948,P<0.05),while there was no difference in the proportion of atrial fibrillation between acute heart failure and chronic heart failure.The number of heart failure complications was independent of atrial fibrillation.Combined with diabetes,renal failure did not increase the incidence of atrial fibrillation,while heart failure combined with hypertension was more likely to be associated with atrial fibrillation.The left atrial diameter of atrial fibrillation group was significantly larger than non-atrial fibrillation group (P<0.01),while there was no significant difference in left ventricular internal diameter and the wall thickness. Conclusions Patients with heart failure complicated with hypertension and diastolic heart failure are more likely to have atrial fibrillation.The occurrence of atrial fibrillation is associated with atrial enlargement.
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