|
|
|
| Diagnostic Effect of Echocardiography on Left Heart Valve Calcification |
| WANG Ben-rong, PENG Fu-song, YANG Lei-lei,et al |
| Echocardiography Room, Beijing Chuiyangliu Hospital, Beijing 100022 |
|
|
|
|
Abstract 【Objective】To evaluate the diagnostic effect of echocardiography on left heart valve calcification. 【Methods】A total of 86 patients with left heart valve calcification were enrolled in our hospital from January 2016 to December 2016, and underwent transthoracic echocardiography. 【Results】In 86 patients with left heart valve calcification, aortic valve calcification was the largest, accounting for 81.40% (70/86), and aortic valve insufficiency was 41.86% (36/86);In 86 patients with left ventricular valve calcification, only 31.40% (27/86) of their left atrium increased ,simple left ventricular enlargement accounted for 13.95% (12/86); left atrium and left ventricle increased, accounting for 12.79% (11/86);Left ventricular hypertrophy was seen, in which 63 cases had ventricular thickening of 1～5 mm, accounting for 73.26% (63/86).Left ventricular diastolic function decreased in 72 cases, accounting for 83.27% (72/86).In the left ventricle of 86 patients with left ventricular valve calcification, the aortic reflex enhanced and the elasticity became worse.The aortic internal diameter was 30~35 mm, accounting for 62.79% (54/86),those of 35~40 mm accounted for 31.40% (27/86),and those ＞40 mm accounted for 5.81% (5/86).【Conclusion】Echocardiography can better reflect the location of calcification and the changes of the structure and function of the heart and aorta, and it is easy to operate and worthy of clinical application.
|
|
Received: 16 March 2017
|
|
|
|
|
|
[1]李康, 杨重庆, 张瑞生,等. 经胸超声心动图对老年患者左心瓣膜钙化诊断的准确性评价[J].中华老年医学杂志, 2017, 36(4):395-399.
[2] 吴静, 龚亚驰, 龚念梅,等. 超声心动图在老年退行性心瓣膜病中的应用价值[J].中国老年学, 2015,35(13):3574-3575.
[3] Clavel MA, Messika-Zeitoun D, Pibarot P,et al. The complex nature of discordant severe calcified aortic valve disease grading: new insights from combined Doppler echocardiographic and computed tomographic study[J].J Am Coll Cardiol,2013, 62(24): 2329-2338.
[4] 郝淑琴. 彩色多普勒超声心动图对老年退行性心脏瓣膜病变的诊断价值探究[J].中国实用医药, 2016, 11(25):76-77.
[5] 王纯正, 徐智章. 超声诊断学[M]. 北京:人民卫生出版社, 1999.
[6] Coffey S, Cox B, Williams MJA. Lack of progress in valvular heart disease in the pre-transcatheter aortic valve replacement era: Increasing deaths and minimal change in mortality rate over the past three decades[J].Am Heart J,2014, 167(4): 562-567.
[7] 王丹辉, 孙岩, 韩桐师,等. 超声心动图在老年钙化性心脏瓣膜病诊断中的应用价值分析[J].中西医结合心脑血管病杂志, 2016, 14(13):1449-1451.
[8] 黎粤, 周良, 卢海霞,等. 超声心动图在老年钙化性心脏瓣膜病诊断中的应用价值分析[J].中国医学工程, 2016,16(1):108-109.
[9] 胡小娟, 胡智安, 韩鄂辉,等. 198例成年人心瓣膜病超声心动图检查的回顾性分析[J].湖北理工学院学报, 2015, 31(6):54-57.
[10] 江跃. 老年性心脏瓣膜病的超声心动图特点及临床诊断准确率研究[J].检验医学, 2016,15(09):31-32.
[11] 蒙振明, 陈巧玲. 超声心动图对老年钙化性心脏瓣膜病的诊断价值[J].蚌埠医学院学报, 2016, 41(6):793-796.
[12] 向凝. 骨质疏松与老年退行性心瓣膜病相关性的研究[J].临床医学研究与实践, 2016, 1(12):15-16.
[13] 康永茂, 徐红, 李玉芳. 老年钙化性瓣膜病超声诊断的临床意义[J].河北医科大学学报, 2012, 33(10):1206-1207.
[14] 文巧艳.超声心动图在老年钙化性心脏瓣膜病诊断中的应用价值研究[J].心血管病防治知识, 2017,16(1):58-59.
[15] 张宁霞.超声心动图对左心系统瓣膜占位性病变的诊断价值研究[J].现代实用医学, 2017, 29(2):244-246. |
|
|
|
2017, Vol. 34 
