TY - JOUR T1 -高原人肺动脉压的无创和有创评估JF -欧洲呼吸杂志JO - Eur Respir J SP - 352 LP - 356 DO - 10.1183/09031936.00137605 VL - 29 IS - 2 AU - Kojonazarov, B. K. AU - Imanov, B. Z. AU - Amatov, T. A. AU - Mirrakhimov, M. M. AU - Naeije, R. AU - Wilkins, M. R. AU - Aldashev，A. A. Y1 - 2007/02/01 UR - //www.qdcxjkg.com/content/29/2/352.abstract N2 -本研究的目的是评价多普勒超声心动图对高海拔居民肺动脉高压的检测。研究人员从吉尔吉斯斯坦海拔2500 - 3600米的1430名居民的心电图筛查项目中招募了60名(55名男性)18-71岁的患者。其中44例符合右心室肥厚的心电图标准。所有人都在抵达比什凯克(吉尔吉斯斯坦;海拔760米)。测量肺血流加速时间和最大三尖瓣反流速度。只有28%的患者恢复了足够质量的三尖瓣反流。因此，通过肺血流加速时间来估计肺动脉压，100%的患者都恢复了肺动脉压。超声心动图显示37例(62%)患者有肺动脉高压。 Pulmonary hypertension was confirmed in 29 patients on catheterisation. Pulmonary hypertension was detected with 70% sensitivity and 88% specificity by echocardiography, as compared to 59% sensitivity and 81 % specificity by ECG. The correlation coefficient between echocardiography and catheterisation studies was r2 = 0.78. It is concluded that a combination of ECG and echocardiography may be useful for screening high-altitude pulmonary hypertension. ER -