Echocardiographic evaluation of right ventricular function in aged patients with chronic obstructive pulmonary disease/
10.3969/j.issn.1008-0074.2019.06.23
- VernacularTitle:老年慢性阻塞性肺疾病患者右心室功能的超声评价
- Author:
Jia CHEN
1
;
Xin WU
;
Longping SU
;
Shuqing GAO
Author Information
1. 福建省老年医院超声科
- Keywords:
Echocardiography;
Pulmonary disease,chronic obstructive;
Aged
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2019;28(6):90-93
- CountryChina
- Language:Chinese
-
Abstract:
To explore evaluation of echocardiography (ECG) for early change of right ventricular function in aged patients with chronic obstructive pulmonary disease (COPD).Methods :A total of 45 aged patients with mild‐moderate stable COPD were selected as COPD group , and another 45 healthy volunteers were regarded as healthy control group .Two‐dimensional ultrasound and Doppler ultrasound indexes were measured and compared be‐tween two groups ,and their correlation were analyzed .Results :Compared with healthy control group ,there were significant rise in right ventricular transverse diameter [RVTD ,(28.03 ± 2.83) mm vs.(37.55 ± 5.44) mm] ,right ventricular wall thickness [RVWT ,(4.79 ± 0.44) mm vs.(5.04 ± 0.66) mm] ,right ventricular myocardial per‐formance index [RVMPI , (0.38 ± 0.06 ) vs .(0.54 ± 0.12 )] , tricuspid regurgitation pressure gradient [TRPG , (9. 50 ± 1. 93) vs.(36.87 ± 6.27 )] , tricuspid diastolic peak E/tissue Doppler tricuspid annular diastolic e′[E/e′, (4. 24 ± 0. 72) vs.(6.48 ± 1. 51)] and significant reductions in right ventricular fraction area change [FAC ,(53. 35 ± 5.41)% vs.(40.21 ± 7.24)%] ,tricuspid annular plane systolic excursion [TAPSE ,(20. 78 ± 2.64) vs.(14. 15 ± 2.44)] ,tricuspid early/late diastolic peak flow velocity [E/A , (1.17 ± 0.19 ) vs.(0.73 ± 0.14 )] , and tissue Doppler tricuspid annular systolic peak velocity [DTIs′,(13. 71 ± 1.25) vs.(12.92 ± 1. 70)] in COPD group , P<0.05 or <0.01. Pearson correlation analysis indicated that TRPG was significant positively correlated with RVTD , RVMPI and RVWT ( r=0. 440~0.830 , P<0. 01 all) ,and significant inversely correlated with FAC ,TAPSE and DTIs'( r= -0.615~ -0.561 , P=0.001 all).Conclusion :RVTD ,FAC ,TAPSE ,tricuspid E/A ,E/e',RVMPI and TRPG etc .can be used to assess early change of right ventricular function .