本文選題：冠心病 + 靜息心率�。� 參考：《實(shí)用醫(yī)學(xué)雜志》2017年22期

【摘要】：目的分析靜息心率(RHR)與冠心病患者冠狀動(dòng)脈病變和左心室功能的相關(guān)性,做好冠心病二級(jí)預(yù)防。方法收集2016年1月至2017年8月于廣州軍區(qū)總醫(yī)院心血管內(nèi)科住院經(jīng)冠狀動(dòng)脈造影或冠脈CTA檢查明確診斷為冠心病的患者共239例,收集入選患者的一般臨床資料及冠脈病變程度和左心室功能的指標(biāo),按照患者RHR控制水平將患者分為4組:A組(RHR60次/min,n=32)、B組(RHR:60~69次/min,n=60)、C組(RHR:70~79次/min,n=68)、D組(RHR≥80次/min,n=79),比較各組患者冠狀動(dòng)脈病變和左心室功能的差異,分析RHR與冠脈病變和左室功能的相關(guān)性,并利用等級(jí)Logistic回歸分析探討RHR、左心室各指標(biāo)與冠脈病變程度的關(guān)系。結(jié)果 A、B、C、D四組患者冠脈病變程度的差異具有統(tǒng)計(jì)學(xué)意義(P0.05),四組患者的LVDs、LVDd、LAs、EF的差異具有統(tǒng)計(jì)學(xué)意義(P0.05),而LAd的比較則無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。Logistic回歸分析顯示:吸煙、糖尿病、EF、LVDs等各項(xiàng)指標(biāo)與冠脈病變程度相關(guān)(P0.05)。結(jié)論 RHR可影響冠心病患者的冠脈病變程度和左室功能,控制好RHR有益于冠心病患者的病情預(yù)后。
[Abstract]:Objective to analyze the relationship between resting heart rate (RHR) and coronary artery disease and left ventricular function in patients with coronary heart disease (CHD). Methods from January 2016 to August 2017, 239 cases of coronary artery disease (CHD) were diagnosed by coronary angiography or coronary CTA in Department of Cardiovascular Medicine, Guangzhou military region General Hospital. To collect the general clinical data of the patients, the degree of coronary artery lesion and the indexes of left ventricular function, According to the control level of RHR, the patients were divided into 4 groups: group A: RHR60 / min, group B: RHR6069 / RHR6069, group C: RHR7079, group D > 80 / min / 79, to compare the difference between coronary artery disease and left ventricular function in each group, and to analyze the correlation between RHR and coronary artery disease and left ventricular function, and to analyze the relationship between RHR and coronary artery disease and left ventricular function. The relationship between RHRand left ventricular indexes and severity of coronary artery lesion was studied by logistic regression analysis. Results there were significant differences in the severity of coronary artery lesions among the four groups (P 0.05, P 0.05). The differences of LVDsl, LVDdU, LAs1 EF in the four groups were statistically significant (P 0.05), but the comparison of lad was not statistically significant (P 0.05). Logistic regression analysis showed that: smoking. The indexes of EFD LVDs were correlated with the severity of coronary artery lesion (P 0.05). Conclusion RHR can affect the degree of coronary artery disease and left ventricular function in patients with coronary heart disease, and control RHR is beneficial to the prognosis of patients with coronary heart disease.
【作者單位】： 廣州軍區(qū)廣州總醫(yī)院;
【基金】：廣州市科技計(jì)劃項(xiàng)目(編號(hào):201508020253)
【分類號(hào)】：R541.4
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本文編號(hào)：2043386