1.THE ESTIMATION OF BODY SURFACE AREA OF ADULT CHINESE MALES
Songshan ZHAO ; Youmei LIU ; Jiabang YAO ; Shuwang GAO ; Shijing ZHANG
Acta Nutrimenta Sinica 1956;0(02):-
The body surface area of adult Chinese males was estimated by using paper cast method.56 healthy individuals, aged 18 to 45, coming from thirteen provinces mostly from Hebei and Hubei were used in this study. From the results obtained, the mean body weight, height and surface area were 59.78kg, 168.8 cm and 1.712 m2 respectively. A height-weight equation for estimating body surface area was derived accordingly, i.e. body surface area(m2)= 0.00607H(cm) + 0.0127W(kg)-0.0689. The error of the value calculated from the equation was 0.17% higher than the value actually taken on an average. The percentage of various body regions to the total body surface area was as follows: head, 6.11; trunk (including neck), 29.59; upper arms, 8.09; forearms, 6.41; hands, 4.93; thighs (including buttock), 24.63; calf, 13.29 and feet, 6.95.For convenient use a table for calculation was given.
2.THE HIGH FREQUENCY ELECTROCARDIOGRAM OF 183 MIDDLE-AGED AND ELDERLY PEOPLE
Shuwang GAO ; Bingde LUO ; Yuqing LI ; Renyu CHEN ; Shengao TANG
Medical Journal of Chinese People's Liberation Army 1982;0(03):-
The purpose of this study was to investigate and analyze the high frequency electrocardiogram (HFECG) for middle-aged and elderly people.138 subjects were chosen in our study.The mean age was 60.38 years.Among them,72.1 per cent were between 50 and 69 years.The results showed that (1) the differences were not significant between male and female groups in the mean number of high frequency notches (HFN).(2) For an increase in high frequency notches in the leads V1 and V2,we should consider the possibility of pathological changes of the anterior medial wall of heart,which was supplied by the dessending rami of the right anterior coronary artery,on the one hand,and it might remind us to pay great attention to posteromedian wall of heart,on the other hand.(3) Looking at all age groups in this study,we preliminarily found that the age peak of ischemic heart disease was between 50 and 70 years,according to the number of high frequency notches in the leads of HFECG.(4) The sensitivity of HFECG for diagnosing ischemic heart disease is 40 per cent higher than that of the conventional ECG.(5) In addition,nine leads were used in this examination,which not only preserved sensitivity of six leads but also could provide a localizing value for the diagnosis of heart disease.
3.The evaluation of structural remodeling of the left atrium in elderly patients with non-valvular atrial fibrillation
Lei LI ; Ya BIAN ; Shuwang LIU ; Yuan ZHANG ; Renji WANG ; Haiyi YU ; Xinheng FENG ; Zhaoping LI ; Wei GAO ; Ming CUI
Chinese Journal of Geriatrics 2017;36(11):1167-1170
Objective To assess the difference in left atrial properties between elderly and younger control subjects and the role of left atrium remodeling in patients of different ages with atrial fibrillation.Methods A total of 194 patients with non-valvular atrial fibrillation were enrolled from September 2014 to June 2016.Based on age,patients were divided into an elderly group (≥60 years,n=129) and a younger group (<60 years,n=65).We evaluated remodeling parameters for the left atrium using an Ultrasound Cardiography (UCG) system in 125 elder subjects,together with 64 control subjects.All remodeling parameters were recorded,including left atrial diameter (LAD),left atrial square (LAS),left atrial pressure (LAP) and left ventricular end-diastolic dimension (LVEDD).Results The elderly group had more female patients and more patients with persistent atrial fibrillation.Meanwhile,scores of CHA2DS2Vsc and levels of N-terminal pro-brain natriuretic peptide (NT-ProBNP) were significantly increased in elderly patients (both P<0.05).Moreover,the elderly group was associated with increased values of LAD and LAS[(39.1±4.4)mm vs.(37.1±5.3)mm,P<0.01;and(23.3±4.5)cm2 vs.(21.4±4.8)cm2,P<0.01;respectively],compared with those in the control group.Spearman's correlation analysis showed that LAD,LAS and LAP were all markedly related to age (r=0.213,P<0.05;r=-0.175,P<0.05;r=0.170,P<0.05;respectively),persistent onset of atrial fibrillation (r=0.401,P<0.05;r=0.446,P<0.05;r=0.160,P<0.05;respectively),and impaired heart function,measured by left ventricular ejection fraction (r=-0.4371,P<0.05;r=-0.403,P<0.05;r=-0.364,P<0.05;respectively) and NT-ProBNP (r=0.485,P<0.01;r=0.483,P< 0.01;r =0.293,P< 0.01;respectively).Conclusions Left atrial remodeling properties measured by the UCG system in the elderly with non-valvular atrial fibrillation are more serious than those in mid-aged and young subjects.As a convenient and accurate assessment of remodeling parameters,the UCG system is an excellent option for measuring left atrial remodeling in the elderly population.