3 77

Cited 0 times in

좌심실 조영술에 의한 좌심실 기능검사

Other Titles
 (The) evaluation of left ventricular function by left ventriculography 
Authors
 김현승 
Issue Date
1977
Description
의학과/석사
Abstract
[한글]좌심실의 기능을 검사하는데. 확장기말좌심실압 (Left ventricular end-diastolic pressure, LVEDP). Ejection fraction(EF) 과 Circumferential fiber shortening(CFS) 이 이용되고 있다. 승모판협착증 15명, 경한 타판막질환이 합병된 모판협착증 44명, 심근질환7명, 그리고 관상동맥환자 10명, 도합 76명의 심장질환 환자를 대상으로 심도자술 및 좌심실조영술을 시행하고 LVEDP, EF, CFS 그리고 Segmental fiber shortening(SFS)등을 구하였다. 그 결과는 다음과 같다. 1. LVEDP는 승모판협착증 환자와 경한타판막질환이 합병된 승모판협착증 환자에서는 각각 7.7 ± 0.74 mmHg 와 8.5 ± 0.52 mmHg로 정상이었고, 심근질환 환자에서는 20.6 ± 2.50 mmHg, 관상동맥질환에서는 22.8 ± 3.12 mmHg로 각각 현저히 증가되어 있었다. 2. EF는 승모판협착증 환자와 경한타판막질환이 합병된 승모판협착증 환자에서는 각각 57.9 ± 3.03 %와 56.0 ± 1.85 %로 정상이었고, 심근질환에서는 27.7 ± 4.33 %로 가장 낮았고, 관상동맥질환에서도 34.1 ± 5.28%로 역시 현저히 낮았다. 3. CFS는 승모판협착증 환자에서 33.5 ± 3.06%로 이상이었고, 경한타판막질환이 합병증 승모판협착증 환자에서는 29.4 ± 1.34%로 승모판협착증 환자에서 보다는 다소 낮았으나 역시 정상이었고. 심근질환이나 관상동맥질환에서는 각각 16.2 ± 3.28 %와 16.3 ± 3 .56 %로 매우 낮았다. 4. 좌심실을 여러 hemiaxis로 나누어 Segmental fiber shortening을 측정하면 기능장애가 생긴 부위와 정도를 더 잘 알수있어 관상동맥질환의 검사에 많은 도움이 될 수 있다. 5. LVEDP가 낮으면 EF와 CFS이 높아지고 LVEDP가 높으면 EF과 CFS가 낮아져 LVEDP와 EF, 또 LVEDP와 CFS이 각각 역상관 관계에 있다.
[영문]Left ventricular end-diastolic pressure (LVEDP), ejection fraction (EF) and circumferendtial fiber shortening (CFS) have been used for the assessment of left ventricular performance. Among 76 patients with heart disease, 15 patients had pure mitral stenosis, 44 had mitral stenosis associated with other mild valvular disease, 7 had myocardiopathy and 10 had coronary artery disease. Cardiac catherization was performed and left ventriculography was done with right anterior oblique projection, and LVEDP, EF, CFS and segmental fiber shortening (SFS) were obtained. The results of the study were : 1. The LVEDP was normal in patients with pure mitral stenosis (7.7 ± 0.74 mmHg) and in patients with mitral stenosis associated with mild valvular disease (8.5 ± 0.52 mmHg). The LVEDP was significantly elevated in patients with myocardiopathy (20.6 ± 2.50 mmHg) and in patients with coronary artery disease (22.8 ± 3.12mmHg). 2. In patients with pure mitral stenosis and in patients with mitral stenosis associated with other mild valvular disease, the EF was normal, 57.9 ± 3.03 % and 56.0 ± 1.85 %, respectively, while the EF was markedly reduced in patients with myocardiopathy (27.7 ± 4.33%) and in patients with coronary artery disease. (34.1 ± 5.28 %). 3. The extent of CFS was normal in patients with pure mitral stenosis (33.5 ± 3.06 %) and was slightly reduced in patients with mitral stenosis associated with other mild valvular disease (29.4 ± 1.34 %). In myocardiopathy and coronary artery disease, the extent of CFS decreased markedly 16.2 ± 3.28 % and 16.3 ± 3.56 %, respectively. 4. Estimation of the SFS by the percentage of shortening of each hemiaxis seemed to be a better method for evaluation of left ventricular contractility in patients with coronary artery disease. 5. Left ventricular end-diastolic pressure correlated well with ejection fraction and circumferential fiber shortening.
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/115630
Appears in Collections:
2. Thesis / Dissertation (학위논문) > 1. College of Medicine (의과대학) > Master's Degree (석사)
사서에게 알리기
  feedback
Full Text
https://ymlib.yonsei.ac.kr/catalog/search/book-detail/?cid=CAT000000007384
Files in This Item:
제한공개 원문입니다.
Export
RIS (EndNote)
XLS (Excel)
XML

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse