实时三维超声心动图评价冠心病伴抑郁患者的左心室收缩功能

摘要

Objective To investigate the change of left heart systolic function in the patients with coronary atheroscle-rotic heart disease (CHD) complicating depression. Methods 100 patients with CHD diagnosed by the elective coronary arteri-ography in the Affiliated Zhongda Hospital of Southeast University from October 2013 to April 2014 were selected and divided in-to the CHD complicating depression group(35 cases) and the CHD non-depression group(65 cases) according to the scores of the Hamilton Depression Scale (HAMD). Contemporaneous 38 healthy people were selected as the control group. The real-time three-dimensional echocardiography was used to collect their heart images for analyzing the left heart systolic function in 3 groups. Re-sults Compared with the control group and the CHD non-depression group,the left ventricular end-systolic volume in the CHD complicating depression group was increased and the left ventricular ejection fraction was decreased ,the differences were statistically significant(P<0.05). Conclusion The left ventricular systolic function in the patients with CHD complicating depression is decreased.%目的 探讨冠状动脉粥样硬化性心脏病(CHD)伴抑郁患者左心室收缩功能的变化.方法 选取2013年10月至2014年4月在东南大学附属中大医院心内科住院、经选择性冠状动脉造影检查确诊为CHD的患者100例,根据汉密顿抑郁量表(HAMD)评分分为CHD伴抑郁组(35例)和CHD非抑郁组(65例);同期选取38例健康人作为对照组.应用实时三维超声心动图采集患者图像进行左心室收缩功能分析.结果 与对照组及CHD非抑郁组比较,CHD伴抑郁组患者左室收缩末期容积增大,左室射血分数降低,差异均有统计学意义(P<0.05).结论 CHD伴抑郁患者左心室收缩功能减低.