Abstract 1
摘要 1
Ⅲ. Left Ventricular Mass, LVmass 10
三、左室心肌质量 10
五、心肌梗塞及心绞痛对中心血液动力学的影响及意义 106
Ⅴ. Influence of Myocardial Infarction and Angina Pectoris on Hemodynamic Variables 106
Ⅳ. Diastolic Function of the Left Ventricle 11
四、左室舒张功能 11
六、前负荷、后负荷及心肌收缩力的变化对中心血液动力学的影响及意义 111
Variables 111
Ⅶ. Conclusion 115
七、结论 115
参考文献 117
References 117
一、材料与方法 121
心脏结构、心内血流及心功能与循环心钠素、肾素—血管紧张素系统 121
Ⅰ. Material and Methods 121
Inflvence of Cardiac Strvcivre, Blood Flow Velocity and Heart Fvnction on Circidating Atrial Natrivretic Peptide and Renin-angiot ension System 121
Ⅱ. Dilated Cardiomyopathy, Rheumatic Heart Disease, Hyperthyroidism and Plasma Atrial natriuretic Peptide, Renin Activity and Angiotension Ⅱ 123
二、扩张型心肌病、风湿性心脏病及甲状腺功能亢进症与血浆心钠素、肾素及血管紧张素Ⅱ水平 123
Ⅲ. Influence of Heart Function on Plasma Atrial Natriuretic Peptide, Renin Activity and Angiotension Ⅱ 124
三、心功能与血浆心钠素、肾素及血管紧张素Ⅱ水平 124
Ⅳ. Influence of Cardiac Structure on Plasma Atrial Natriuretic Peptide, Renin Activity and Angiotension Ⅱ 129
四、心脏结构对血浆心钠素水平的影响 129
五、各瓣膜区血流速度对血浆心钠素水平的影响 130
Ⅴ. Influence of Blood Flow Velocity on Plasma Atrial Natriuretic Peptide, Renin Activity and Angiotension Ⅰ 130
Ⅵ. Influence of Thyroid Hormones on Plasma Atrial Natriuretic peptide, Renin Activity and AngiotensionⅠ 131
六、甲状腺激素对血浆心钠素、肾素及血管紧张素Ⅱ水平的影响 131
七、结论 132
references 132
Ⅶ. Conclusion 132
参考文献 132
综述 136
一、超声心动图负荷试验发展概况 136
Part 2 Stress Echocardiography 136
第二部分 超声心动图负荷试验 136
Review 136
Ⅰ. Introduction to Stress Echocardiography 136
Ⅱ. Differdnces between Stress Echocardiography and other Stress Tests 137
二、超声心动图负荷试验与其它负荷试验方法的比较 137
Ⅲ. Principle, Methods and Characteristics of Stress Echocardiography 139
三、超声心动图负荷试验的原理、方法及特点 139
四、负荷试验时心肌代谢及血管活性物质的变化 147
Ⅳ. Metabolic Changes during Stress Echocardiography 147
五、超声心动图负荷试验在生理学领域中的应用 148
Ⅴ. Use of Stress Echocardiography in the Field of Physiology 148
Ⅴ. Right Ventricular Function 15
五、右心功能 15
Ⅵ. Effects of Stress Ecbocardiography in Detection of Coronary Artery Disease and Assessment of Heart Function 151
六、超声心动图负荷试验诊断冠心病及评价冠心病左心功能 151
Ⅶ. Looking forward to the Future of Stress Echocardiography 153
七、超声心动图负荷试验的应用前景 153
References 154
参考文献 154
食道心房调搏超声心动图负荷试验评价冠心病左心功能 162
Ⅰ. Material and Methods 162
Exalvation of Left Ventricvlar Function in Patients with Coronary Artery Disease by Echocardiographic Atrial pacing Stress Test 162
一、材料与方法 162
二、时间间期的变化及对冠心病的诊断价值 164
Ⅱ. Variation of Time Interval in Echocardiographic Pacing Stress Test and the Value in Detecting Coronary Artery Disease 164
Ⅲ. Variation of Mitral Septal Angle in Echocardiographic Pacing Stress Test and the Value in Detecting Coronary Artery Disease 169
三、二尖瓣室间隔角的变化及对冠心病的诊断价值 169
六、影响心功能测定的因素 17
Ⅵ. Affected Factors of Heart Function 17
Ⅳ. Variation of Left Ventricular Diastolic Filling in Echocardiongraphic Pacing Stress Test and the Value in Detecting Coronary Artery Disease 172
四、二尖瓣多普勒血流频谱的变化及对冠心病的诊断价值 172
Ⅴ. Principle of Echocardiographic Pacing Stress Test and the Use of Clinical Examination 177
五、食道心房调搏超声心动图负荷试验原理及应用价值的探讨 177
Ⅵ. Conclusion 178
六、结论 178
References 179
参考文献 179
缩略词索引 180
Abbreviations 180
About the Author 184
作者简历 184
Ⅰ. Pumping Function 2
综述 2
一、泵血功能 2
Part 1 Assessment of Heart Function by Echocardiography 2
Review 2
第一部分 超声心动图心功能测定 2
Ⅶ. Methods of Assessment and Tests of Reproducibility 24
七、探测方法与重复性试验 24
references 29
参考文献 29
影响中心血液动力学的生理性因素 38
一、材料与方法 38
Ⅰ. Material and Methods 38
Potential Inflitence of Physiologic Factors on Hemodynamic Variables 38
二、年龄对中心血液动力学的影响及意义 42
Ⅱ. Influence of Age on Hemodynamic Variables 42
Ⅲ. Influence of Heart Rate on Hemodynamic variables 58
三、心率变化对中心血液动力学的影响及意义 58
Ⅱ. Contractility of Myocardiom 6
二、心肌收缩力 6
四、性别对中心血液动力学的影响及意义 70
Ⅳ. Influence of Gender on Hemodynarnic Variables 70
Ⅴ. Influence of Body Weight on Hemodynamic Variables 71
五、体重对中心血液动力学的影响及意义 71
Ⅵ. Conclusion 72
六、结论 72
参考文献 73
References 73
Inflvence of Pathologic Factors on Hemodynamic Variables 78
影响中心血液动力学的病理性因素 78
一、材料与方法 79
Ⅰ. Material and Methods 79
Ⅱ. Influence of Anemia of Acute Severe Hemorrhage on Hemodyanmic Variables 81
二、急性失血性贫血对中心血液动力学的影响及意义 81
三、甲状腺功能亢进症对中心血液动力学的影响及丙基硫氧嘧啶疗效观察 86
Ⅲ. Influence of Hyperthyroidism on Hemodynamic Variables and Effects of Propylthiouracil on Hyperthyroidism 86
四、单纯性收缩期高血压及舒张期高血压对中心血液动力学的影响及硝苯吡啶疗效观察 93
Ⅳ. Influence of Isolated Systolic Hypertension and Diastolic Hypertension on Hemodynamic Variables and Effects of Nifedipine on Blood Pressure and Left Ventricular Performance in Patients with Hypertension 93