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WAY DIFFERENTIAL DIAGNOSIS Hypertrophic cardiomyopathy and hypertension with left ventricular hypertrophy

机译:鉴别诊断肥厚型心肌病和高血压伴左室肥厚

摘要

FIELD: medicine.;SUBSTANCE: invention relates to field of medicine, namely to cardiology. Echocardiography is carried out in state of rest and then immediately after physical loading on vertical bicycle ergometre, placing patient into horizontal position. Dynamics of indices of systolic and diastolic functions of left ventricle, criteria of loading test cessation and recovery period duration are analysed. If E peak of transmitral flow growth is not more than 10%, A peak - not more than 10%, index E/A decreases on 3-4%, E-wave slowing-down time (DT) decreases or grows on 5-7%, fraction of left ventricle output increases on not more than 10%, contraction ability of interventricular septum decreases or increases but not more than 20%, reduction of end-diastolic and stroke volumes or absence of their measurement, if intraventricular pressure gradient increases to 30 mm of mercury column and more in case of obstructive form of HCMP, if duration of recovery period after loading lest exceeds 12 minutes, in case bicycle ergometry is stopped because there is no growth or systolic arterial pressure drops on 20 mm of mercury col. and more, stenocardia attack, achievement of submaximal level of heart beats, hypertrophic cardiomyopathy is diagnosed. If E peak of transmitral flow growth is not more than 40%, A peak - from 20 to 30%, E/A index grows on 10% and more, time of E-wave (DT) slowing-down reduces on more than 30%, fraction of left ventricle output grows on more than 15%, contraction ability of interventricular septum grows on 30% and more, end-distal left ventricle volume grows on 10%, and stroke volume - more than 25%, recovery period duration does not exceed 7 min, in case loading test is stopped because maximal permissible level of arterial pressure is achieved, hypertension disease with left ventricle hypertrophy is diagnosed.;EFFECT: method extends arsenal of means for differential diagnostics of hypertrophic cardiomyopathy and hypertension disease with left ventricle hypertrophy.;3 ex
机译:技术领域本发明涉及医学领域,即心脏病学。超声心动图检查是在静止状态下进行的,然后在垂直放置在人体工学自行车上后立即将患者置于水平位置。分析了左心室收缩和舒张功能指标的动态,负荷试验停止的标准和恢复期的持续时间。如果输血流量增长的E峰不超过10%,A峰-不超过10%,则指标E / A降低3-4%,E波减速时间(DT)降低或增长5 7%,左心室输出分数增加不超过10%,室间隔的收缩能力降低或增加,但不超过20%,舒张末期和中风量减少,或者如果没有室内压力梯度升高,则无测量值如果阻塞形式的HCMP达到30毫米汞柱,则更大,如果装载后的恢复时间超过12分钟,则由于20毫米汞柱没有生长或收缩动脉压下降而停止自行车测功。此外,还可以诊断出狭窄性心动过速发作,达到次最高水平的心跳,肥厚型心肌病。如果输血流量增长的E峰不超过40%,A峰-从20%增至30%,E / A指数增长10%以上,则E波(DT)减速的时间减少30 %,左心室输出分数增长超过15%,室间隔的收缩能力增长30%以上,远端远端左心室容积增长10%,中风量-超过25%,恢复期持续时间不超过7分钟,如果由于达到最大允许动脉血压水平而停止负荷试验,则可诊断出患有左心室肥大的高血压疾病。效果:该方法扩展了对左心室肥厚型心肌病和高血压疾病进行鉴别诊断的手段肥大。; 3前

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