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- 저자 : ( Yashin Achmatov ) (검색결과 1 건)
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( Yashin Achmatov ),( Igor Tsoi ),( Gulnora Nagaeva ) 대한내과학회 2014 대한내과학회 추계학술대회 Vol.2014 No.1
Background: To compare clinical and functional patients with isolated right heart dilatation (RVDC) depending on the presence or absence of pulmonary hypertension (PH). Methods: We examined 22 patients who had DC with a primary lesion of the right heart (17 - females, 5 - males). All performed: blood examination, ECG, echocardiography with determination of ejection fraction (EF) of the right ventricle (RV) and the mean pulmonary artery pressure (MPAP), 6-minute walk test (6MWT) and external respiration parameters. Results: According to general clinical laboratory data analyzed differences in the groups have been identified. Noted a relative increase in the level of Hb levels in pts of 1gr., amounting to 135,7 ± 14,6 g / l vs 2gr. = 120,2 ± 23,7 g / l (p> 0.05). Data of 6MWT showed 201,8 ± 86,1 m in 1gr. vs 163,2 ± 60,4 m in 2 gr. respectively. Nevertheless, according to spirometry patients with PH have lower VC (1gr.= 63 5 ± 16,5 l and 2gr. = 67,7 ± 6,3 l), all p> 0.05. The echocardiography parameters of 1gr. : EDV = 90,5 ± 41,6 ml, ESV = 27,5 ± 12,6 ml, that on 26.8% and 29.1%, respectively, were more of similar indicators of 2 gr, with LVEF in 1gr. = 68,9 ± 6,3% and in 2gr. = 69,6 ± 9,6% (all p> 0.05).RV of 1 gr.=55,2±9,7 and RV of 2 gr.=51,3±7,3. RA of 1 gr.=56,7±15,7 RA of 2 gr. = 47,8 ± 9,4; RV EF in 1gr. = 35,7 ± 8,2 that on 9.2% was lower than in 2gr. Conclusions: Patients with RVDC and the presence of LH characterized by elevated levels of Hb, lower VC and RVEF despite of more good parameters of 6MWT.
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