XIA Xiao-qi,YANG Cheng-ming,ZENG Chun-yu,WANG Xu-kai,FANG Yu-qiang.Noninvasive arterial stiffness examination evaluates cardiac insufficiency in patients with chronic heart failure[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(24):2466-2468.
XIA Xiao-qi,YANG Cheng-ming,ZENG Chun-yu,WANG Xu-kai,FANG Yu-qiang.Noninvasive arterial stiffness examination evaluates cardiac insufficiency in patients with chronic heart failure[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(24):2466-2468.DOI:
Objective To investigate the significance of noninvasive arterial stiffness examination in patients with chronic heart failure (CHF). Methods A total of 110 patients with chronic heart failure and admitted in our hospital from October 2008 to January 2009 were subjected in this study. They were divided into 3 groups according to their cadiac function varied from class Ⅱ-Ⅳ (NYHA). There were 50 patients in NYHA Ⅱ group
30 in Ⅲ group
and 300 in VI group. Measurement of these parameters
including the cardioankle vascular index (CAVI)
ankle-brachial index (ABI)
left ventricular ejection fraction (LVEF)
plasma aldosterone (ALD)
B-type natriuretic peptide (BNP)
high sensitive reaction protein C (Hs-CRP) were measured
and the relationship among these parameters were analyzed. Results CAVI in Ⅲ group and Ⅳ group was obviously higher than that in group Ⅱ (P0.05). Plasma ALD
BNP and Hs-CRP were significantly higher in the group Ⅲ and group Ⅳ than in group Ⅱ (P0.05). Color Doppler echocardiography indicated that group Ⅲ and group Ⅳ had obviously decreased LVEF compared with the group Ⅱ (P0.05). CAVI was positively correlated with ALD
BNP and Hs-CRP respectively (r=0.344
0.434
0.406
P0.05)
and negatively correlated with LVEF(r=-0.678
P0.05). Conclusion CAVI and ABI have equal value to evaluate arteriosclerosis degree. But the former is simple
reliable and non-invasive
and makes more comprehensive evaluation in cardiac function for cardiac patients with CHF and has the sound correlation with the traditional non-invasive indexes.