A clinical study of the change of myocardial mass in patients with Parkinson’s disease
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A clinical study of the change of myocardial mass in patients with Parkinson’s disease
Journal of Clinical Ultrasound in MedicineVol. 24, Issue 10, (2022)
作者机构:
徐州医科大学附属医院
作者简介:
基金信息:
DOI:
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Published:2022,
Published Online:31 October 2022,
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A clinical study of the change of myocardial mass in patients with Parkinson’s disease. [J]. Journal of Clinical Ultrasound in Medicine 24(10).(2022)
DOI:
A clinical study of the change of myocardial mass in patients with Parkinson’s disease. [J]. Journal of Clinical Ultrasound in Medicine 24(10).(2022)DOI:
A clinical study of the change of myocardial mass in patients with Parkinson’s disease
Objective To study the left ventricular mass index (LVMI) of patients with Parkinson’s disease and to explore the related factors. Methods Seventy-five clinically diagnosed PD patients were divided into two subgroups according to H-Y classification. In addition
75 healthy controls matched for age and sex were involved. Relevant data were collected including age
sex
course of disease and madopar equivalent dose. Real-time three-dimensional ultrasound (RT-3DE) was used to measure LVMI and left ventricular function including left ventricular end-diastolic volume index (LVEDVI)
left ventricular stroke volume index (LVSVI) and left ventricular ejection fraction (LVEF). These indexes were all measured in different PD subgroups and normal controls. Results LVMI of PD patients in middle and late stage was lower than that of early stage and control group (p<0.05). LVSVI
LVEF of PD patients in middle and late stage were lower than that of early stage and control group (all p<0.05). There were no significant differences in other indexes between PD subgroups or between PD group and healthy control group. Correlation analysis showed that there is an obvious negative correlation between LVMI and UPDRS score
disease duration and Madopar equivalent dose (r=-0.512
-0.438
-0.621
all p<0.05). Conclusions By using RT-3DE
LVSVI and LVEF and LVMI decreased in patients with intermediate and advanced PD. It can be seen that in the middle and late stages of the disease
the heart function of PD patients is also affected
which may be helpful to evaluate the degree of influence of PD on the heart.
关键词
帕金森病实时三维超声心动图左室心肌质量指数左心室功能
Keywords
Parkinson’s diseaseReal-time three-dimensional ultrasoundLeft ventricular mass indexLeft ventricular function