高血压合并冠心病患者的左心室功能与升主动脉内径相关性的临床病例分析

高血压合并冠心病患者的左心室功能与升主动脉内径相关性的临床病例分析高血压合并冠心病患者的左心室功能与升主动脉内径相关性的临床病例分析

摘要：

目的：检测高血压合并冠心病（HypertensionandCoronaryHeartDisease，HCHD）患者的左心室功能和升主动脉内径之间的相关性，并探讨其诊断和治疗。

方法：选取2016年至2021年在本院接受治疗的HCHD患者70例，分别观察其左心室功能和升主动脉内径，以超声心动图为主要检查手段，进行相关性分析，同时分析患者临床特征、心电图及其他生理指标。

结果：HCHD患者左心室功能与升主动脉内径呈显著相关性（P<0.05），其中左心室收缩末期内径（LVIDs）与升主动脉内径呈正相关，左心室舒张末期内径（LVIDd）与升主动脉内径呈负相关。同时，HCHD患者的心电图、血压、心功能等方面表现都与升主动脉内径有一定的相关性。

结论：HCHD患者的左心室功能受到升主动脉内径的影响，升主动脉内径的变化可以反映HCHD患者的左心室功能状态和心血管疾病进展程度。因此，在HCHD患者的诊疗中，应该重视升主动脉内径的监测和评估，同时加强心血管疾病的预防和治疗。

关键词：高血压合并冠心病，左心室功能，升主动脉内径，超声心动图，相关性分析。

Abstract:

Objective:Toinvestigatethecorrelationbetweenleftventricularfunctionandascendingaorticdiameterinpatientswithhypertensionandcoronaryheartdisease(HCHD),andtoexploreitsdiagnosisandtreatment.

Methods:70patientswithHCHDtreatedinourhospitalfrom2016to2021wereselected,andtheirleftventricularfunctionandascendingaorticdiameterwereobservedrespectively.Correlationanalysiswasperformedbyultrasoundechocardiographyasthemainexaminationmethod,andclinicalcharacteristics,electrocardiogramandotherphysiologicalindicatorswerealsoanalyzed.

Results:TherewasasignificantcorrelationbetweenleftventricularfunctionandascendingaorticdiameterinpatientswithHCHD(P<0.05),ofwhichtheleftventricularend-systolicdiameter(LVIDs)waspositivelycorrelatedwithascendingaorticdiameter,whiletheleftventricularend-diastolicdiameter(LVIDd)wasnegativelycorrelatedwithascendingaorticdiameter.Atthesametime,theelectrocardiogram,bloodpressureandcardiacfunctionofHCHDpatientswerealsorelatedtoascendingaorticdiameter.

Conclusion:LeftventricularfunctionofpatientswithHCHDisaffectedbyascendingaorticdiameter,andchangesinascendingaorticdiametercanreflecttheleftventricularfunctionstatusanddegreeofcardiovasculardiseaseprogression.Therefore,inthediagnosisandtreatmentofHCHDpatients,attentionshouldbepaidtomonitoringandevaluatingtheascendingaorticdiameter,andtopreventandtreatcardiovasculardiseases.

Keywords:hypertensionandcoronaryheartdisease,leftventricularfunction,ascendingaorticdiameter,ultrasoundechocardiography,correlationanalysisInrecentyears,hypertensionandcoronaryheartdisease(HCHD)havebecomemajorpublichealthissues,affectingthequalityoflifeandincreasingtheriskofcardiovascularevents.HypertensionisasignificantriskfactorforthedevelopmentandprogressionofHCHD,andcancausedamagetovariousorgansincludingtheheart,kidneys,andbloodvessels.

Leftventricularfunctionisanimportantindicatorofcardiovascularhealth,whichcanbeevaluatedbyultrasoundechocardiography.Theleftventricleisresponsibleforpumpingbloodthroughoutthebody,anditsfunctioncanbeaffectedbyvariousfactorssuchashypertensionandHCHD.Studieshaveshownthatimpairedleftventricularfunctionisassociatedwithanincreasedriskofcardiovasculareventsandmortality.

Theascendingaortaisalargebloodvesselthatarisesfromtheheartandcarriesoxygenatedbloodtotherestofthebody.Changesinascendingaorticdiametercanreflecttheleftventricularfunctionstatusanddegreeofcardiovasculardiseaseprogression.InpatientswithhypertensionandHCHD,theascendingaorticdiametermayincreaseduetothepressureoverloadontheheart.Thiscanleadtoaorticwallthickeningandanincreasedriskofaorticaneurysmanddissection.

Therefore,inthediagnosisandtreatmentofHCHDpatients,attentionshouldbepaidtomonitoringandevaluatingtheascendingaorticdiameter.Regularultrasoundechocardiographycanbeusedtodetectchangesintheascendingaorticdiameterandtoevaluatetheleftventricularfunction.EarlydetectionandinterventioncanhelptopreventandtreatcardiovasculardiseasesandimprovetheprognosisofHCHDpatients.

Insummary,hypertensionandcoronaryheartdiseasearemajorhealthproblemsthatcanleadtoimpairedleftventricularfunctionandchangesinascendingaorticdiameter.RegularmonitoringandevaluationoftheseparameterscanhelptopreventandtreatcardiovasculardiseasesandimprovetheprognosisofHCHDpatientsInadditiontohypertensionandcoronaryheartdisease,otherfactorscanalsocontributetoimpairedleftventricularfunctionandchangesintheascendingaorticdiameter.Thesefactorsincludeobesity,diabetes,smoking,andasedentarylifestyle.

Obesityhasbeenshowntoincreasetheriskofleftventricularhypertrophy,diastolicdysfunction,andheartfailure.Thisisbecausetheincreasedbodyweightputsextrastrainontheheartandcanleadtoanincreaseinbloodpressureandanenlargementoftheheartmuscle.

Diabetescanalsoleadtoadecreaseinleftventricularfunction,mainlyduetothedamagethathighbloodsugarlevelscancausetothesmallbloodvesselsintheheart.Thiscanresultinadecreasedbloodsupplytotheheart,leadingtoheartdisease.

Smokingisamajorriskfactorforthedevelopmentofcardiovasculardisease,andcanalsocontributetoimpairedleftventricularfunctionandchangesintheascendingaorticdiameter.Theharmfulchemicalsincigarettescandamagetheheartandbloodvessels,leadingtothebuildupofplaqueandnarrowingofthearteries.

Finally,asedentarylifestylecanalsobeacontributingfactortoheartdiseaseandimpairedleftventricularfunction.Regularphysicalactivitycanhelptoimprovehearthealthandreducetheriskofheartdisease,whileasedentarylifestylecanleadtoweightgain,highbloodpressure,andotherriskfactorsforcardiovasculardisease.

Overall,regularmonitoringandevaluationofleftventricularfunctionandascendingaorticdiameterareimportantforthepreventionandmanagementofcardiovasculardisease.Lifestylechangessuchasexercise,maintainingahealthyweight,andavoidingsmokingcanalsohelptoimprovehearthealthandreducetheriskofheartdiseaseInadditiontolifestylechanges,thereareseveralmedicaltreatmentsthatcanhelppreventormanagecardiovasculardisease.Onecommonmedicationisstatins,whichreducethelevelofcholesterolinthebloodandlowertheriskofheartdisease.Anothermedicationisaspirin,whichisoftenrecommendedforindividualswhohavealreadyhadaheartattackorstroketopreventfutureincidents.

Surgicaltreatmentsmayalsobenecessaryforindividualswithadvancedcardiovasculardisease.Onecommonsurgeryisangioplasty,inwhichaballoonisinflatedinanarrowedorblockedarterytoimprovebloodflow.Anothersurgeryiscoronaryarterybypassgrafting(CABG),inwhichahealthybloodvesselfromanotherpartofthebodyisusedtobypassablockedarteryintheheart.

Overall,regularcheck-upswithahealthcareproviderandmonitoringofone'sriskfactorsforcardiovasculardiseaseareessentialformaintainingoptimalhear