心源性和单心源性死亡中的心脏重量、左心室壁厚度和室间隔厚度:巴比伦省横断面尸检研究

Neamah Hassoni Mahdi, Ammar Mohammed, H.G. Abdelzaher
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摘要

背景 心脏重量和左心室质量反映了冠状动脉疾病的严重程度。在临床实践中,它可以帮助医生决定是否进行有创心导管检查以观察冠状动脉阻塞的程度。材料和方法 本研究是一项横断面尸检研究,包括 80 例进行了全面尸检的病例,并测量了心脏重量、左心室后壁厚度和室间隔厚度。测量结果进行了统计分析,并与年龄、性别和心血管疾病相关联。研究结果显示,年龄与心脏重量之间存在很强的正相关性;相关性在 0.01 水平(双尾)上显著。通过学生(t)检验,男性和女性心脏平均重量之间的差异非常显著:P < 0.05.P = 0.004.LVPW 厚度和 IVS 厚度也得到了同样的结果;男性和女性的平均 LVPW 厚度和 IVS 厚度差异非常显著:P < 0.05。心脏重量与心脏疾病之间以及 LVPW 和 IVS 厚度与心血管疾病之间存在很强的正相关性。结论 年龄和性别与室间隔厚度、左室后壁厚度和心脏重量之间存在高度显著的正相关,因此在临床实践中评估这些测量值的意义时应考虑年龄和性别。高血压和冠心病等心血管疾病与心脏重量增加、左心室壁厚度和室间隔厚度增加有关。
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Heart weight, Left Ventricular Wall Thickness, and Interventricular Septum Thickness in Cardiac and Moncardiac Causes of Deaths: A Cross-sectional Postmortem Study in Babylon Province
Background The heart weight and left ventricular (LV) mass reflect on the severity of coronary artery diseases. In clinical practice, it can help physicians decide whether to perform invasive cardiac catheterization to visualize the extent of the coronary block. Material and methods this study is a cross sectional postmortem study included 80 cases, for which a full autopsies were performed, and included measurement of heart weight, left ventricle posterior wall thickness, and interventricular septum thickness. The measurement was statistically analyzed and correlated to age sex and cardiovascular diseases. Results; the result of this study has revealed a strong positive correlation between age and heart weight; Correlation is significant at the 0.01 level (2-tailed). By using student (t) test, the difference between the means weight of heart in males and females is highly significant: P < 0.05. P = 0.004. The same result were obtained for the LVPW thickness and IVS thickness; the difference in mean LVPW thickness and IVS thickness between male and female is highly significant P < 0.05. There is a strong positive correlation between heart weight and cardiac diseases as well as the LVPW and IVS thickness and cardiovascular diseases. Conclusion there is a highly significant positive correlation between age and sex, on one hand, and interventricular septal thickness, left ventricular posterior wall thickness and heart weight on the other hand, and, therefore, age and sex should be considered in order to assess the significance of these measurements in clinical practice. Cardiovascular diseases such as hypertension and coronary artery disease are associated with increased heart weight and increased left ventricular wall thickness and interventricular septum thickness
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