糖耐量受损患者左室舒张功能不全的超声心动图特征

A. Bhuiyan, Z. Sultana, M. Khan, A. M. Rahman, M. R. Ahsan, M. M. Rahmam, K. Hasan, M. Haq
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摘要

背景:左室舒张功能障碍的测量在糖耐量受损患者中很重要。目的:本研究的目的是观察糖耐量受损患者左室舒张功能障碍的超声心动图特征。方法:本横断面研究于2005年7月至2007年6月在孟加拉国达卡的Bangabandhu Sheikh Mujib医科大学(BSMMU)心内科进行,为期2年。在孟加拉国达卡的孟加拉国糖尿病、内分泌和代谢疾病研究与康复研究所(BIRDEM)就诊并符合选择标准的糖耐量受损(IGT)患者作为本研究的a组。无心血管疾病的表面健康者作为b组。所有研究对象均行二维和m型超声心动图进行房扩。心室肥厚和心室收缩功能根据美国超声心动图学会的建议。结果:两组间二维和m型超声心动图特征比较。其中,A组LA大小为31.18±3.49 mm, B组LA大小为25.22±4.95 mm,均显著高于病例组(p<0.01)。左室舒张功能不全(LVDD)组与无左室舒张功能不全(LVDD)组的LA大小(32.76±4.61 vs 28.79±4.11 mm, p<0.001)显著高于左室舒张功能不全组。结论:糖耐量受损患者左室舒张功能障碍超声心动图特征存在显著差异。孟加拉国国家神经科学研究所学报,2020;6(1):38-42
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Echocardiographic Characteristics of Left Ventricular Diastolic Dysfunction among Impaired Glucose Tolerance Patients
Background: The measurement of left ventricular diastolic dysfunction is important among the impaired glucose tolerance patients. Objectives: The purpose of the present study was to see the echocardiographic characteristics of left ventricular diastolic dysfunction among impaired glucose tolerance patients. Methodology: This cross sectional study was carried out in the Department of Cardiology at Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh from July 2005 to June 2007 for a period of two (02) years. Patients with impaired glucose tolerance (IGT) patients attending Bangladesh Institute of Research and Rehabilitation in Diabetes, Endocrine and Metabolic Disorders (BIRDEM), Dhaka, Bangladesh and fulfilled selection criteria were included in this study as group A. The apparently healthy persons without cardiovascular disease were taken as group B. All the study subjects underwent 2D and M-mode echocardiography for chamber enlargement, ventricular hypertrophy and ventricular systolic function according to recommendation of American Society of Echocardiography. Result: 2D and M-mode echocardiographic characteristics were compared between groups. Among the parameters, LA size in the group A was 31.18±3.49 mm and in group B was 25.22±4.95 mm which was significantly higher (p<0.01) in the case group. LA size was also compared among left ventricular diastolic dysfunction (LVDD) present and absent group, which was (32.76±4.61 vs 28.79±4.11 mm, p<0.001) significantly higher in the LVDD present group. Conclusion: In conclusion there is a significant differences of echocardiographic characteristics of left ventricular diastolic dysfunction among impaired glucose tolerance patients. Journal of National Institute of Neurosciences Bangladesh, 2020;6(1): 38-42
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