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的oai: heighpubs.org: 10.29328 / journal.ach.1001014 2019-01-28 HJCH: VOL3

射血分数保留的心力衰竭(HFpEF);来自墨西哥社会保障研究所(IMSS)的一组墨西哥人 莉莎特Arizmendi-Ocampo 马丁玫瑰花佩拉尔塔 莫拉雷斯Daniela萨利纳斯 亚历杭德罗Chanona埃斯皮诺萨 艾丽西亚孔特雷拉斯罗德里格斯 埃里克拉米雷斯阿里亚斯 卡洛斯。里埃拉kinkel 瓜达卢佩卡斯特罗MartAnez 何塞·安东尼奥·Magana-Serrano & lt; h2> Abstract< / h2>背景:一些流行病学研究表明，高达50%的心衰患者射血分数有保留，而且这一比例随着时间的推移而增加。对其严重性和相关共病的了解是制定适当的治疗和预防策略的决定因素。这项研究的重点是建立一个队列和随访的墨西哥人群，并分析其严重程度及其与其他心血管危险因素共病的相互作用。<& lt; p> & lt; strong>方法:& lt; / strong>我们从不同的站点包括病人的墨西哥城被送往国家医学中心的心脏病医院在墨西哥城的实现超声心动图作为评估的一部分的呼吸困难、水肿、高血压心脏病的怀疑。进行完整的病史、体格检查和包括脑钠肽(BNP)血清水平的实验室研究。舒张功能不全的诊断是基于症状和超声心动图数据，包括减速时间、左心房大小、e&隔膜和e&急性;以及E波、A波及其比值E/A。所有患者均有左心室射血分数& gt; 45%.</p> <p><strong>Results: </strong>We included 168 patients with HFpEF. The most common risk factor was hypertension (89.2%), followed by overweight and obesity (&gt; 78.5%), dyslipidemia (82.1%) and diabetes (42.8%). Women were dominant, 108 (64.3%); the mean age was 63 years old. When we classify by severity of diastolic dysfunction, we found that 41.1% were grade I, 57.1% were grade II and only 1.8% were grade III. The risk factors most strongly associated with the severity of diastolic dysfunction were hypertension, obesity and dyslipidemia. We found BNP levels highly variables, but the levels were higher detected as the ejection fraction was approaching to 45%. At one year of follow up mortality was not reported.</p> <p><strong>Conclusion: </strong>HFpEF is a frequent entity in patients with cardiovascular risk factors in Mexico. The most common risk factor was hypertension. The combination of hypertension, overweight and dyslipidemia predicted the severity of diastolic dysfunction. We recommend that all Mexican patient with hypertension and overweight or obesity should be submitted as a part of its medical evaluation to an echocardiogram study in order to detect diastolic dysfunction even though the signs or symptoms are or not evident.</p> 临床高血压-增高科学出版公司年报188bet体育 2019-01-28 研究文章 //m.lakotalakes.com/hjch/ach-aid1014.php 在 版权所有©Lizette Arizmendi-Ocampo et al。