Application Of Noninvasive Hemodynamics In Heart Function Insufficiency In Patients With Hypertension

ObjectiveHypertension early damage of cardiac function and hemodynamics disorder has close relationship, this study observe the characteristics of hemodynamics in patients with hypertension and understanding heart function grade Ⅰ,Ⅱ, Ⅲ,Ⅳ between hemodynamic changes and relationship between, the observation of hypertension and heart function of patients with grade Ⅰ indexes. And to observe the application of IC technology to guide the treatment of hypertension and heart failure patients, improvement of blood pressure control rate and hemodynamics. In patients with essential hypertension of inadvertent dysfunction or cardiac function in early damage be diagnosed and evaluation of the prognosis, of early prevention and treatment for the hypertension patients quality of life will be greatly improved, access to essential hypertension patients with early cardiac function in early damage parameters using ICG monitoring system, establishment of hypertensive patients with early cardiac function damage diagnosis of ICG system standard, carry out hypertension drug targeting, and through the treatment target to the efficacy of the treatment.MethodsSelect the January September 2014 to 2016 of Guangzhou Military Area Command of 186 cases of Guangzhou General Hospital of Guangzhou Military outpatients and cadre ward for treatment of hypertension patients, which according to New York Heart Association (New York Heart Association, NYHA heart function classification, divided into does not appear heart failure symptoms of 90 patients (including normal heart function and cardiac function grade Ⅰ patients), has been the emergence of patients with heart failure symptoms of 96 cases (including heart functional grade Ⅱ and grade Ⅲ and Ⅳ patients). Observation of hypertension and hypertension with heart function not all patients with ICG numerical range, the cardiac pump function in patients with hypertension by comprehensive analysis of observed at every level of heart function not in patients with hypertension and cardiac function in patients with normal ICG detection system parameters, a summary of ICG and NYHA functional class. ICG group of patients according to the results of ICG detection of targeted drug, the experience group of patients according to physician experience, observe the control rate of hypertension and cardiac insufficiency, hemodynamics abnormal index improvement rate.ResultsNo significant differences between the 5 groups of patients with hypertension, SBP, DBP and HR, LVET, TFC, STR and other hemodynamic parameters (P＞0.05). But in CO, CI, SV, Si, EPCI, ISI index, with the symptoms and heart function not entire severity showed a decreasing trend; after 3 months of treatment, reduce the level of cardiac function of ICG group the SBP, SSVR, Co, SV, EPCI, ISI increased, the difference is statistically significant (P ＜0.05); DBP, HR, LVET, STF, PEP and index between groups compared the difference was not statistically significant (P＞0.05). ICG group and experience group of hypertension control rate was 85.9%,71.4%, ICG group was significantly higher than that of experience group, the difference was statistically significant (P＜0.05); and treatment after ICG group, from the heart function grade Ⅰ-Ⅳ, hemodynamics improved rate:89.6%,83.3%,80%, 83.7%. Experience group improved rate:45.5%,50.0%,66.7%, and 80%. ICG group was significantly higher than that of experience group, and the difference was statistically significant (P＜0.05) (Figure 2). There was no significant difference between the ICG group and the experience group (P>0.05), and the improvement rate in the experience group was increased from grade Ⅰ to IV in the heart function grade Ⅲ and Ⅳ patients. ICG guided targeted drug treatment of four patients with cardiac insufficiency, the cardiac function I have the highest efficiency, compared with NYAH grade ICG for the diagnosis of early cardiac dysfunction in patients with significant significance.GonclusionA hemodynamic monitoring can facilitate the comprehensive detection of hemodynamic parameters, dynamic understanding heart function, by obtaining the exact parameters of the hemodynamic and for patients with heart failure and hypertension to establish the baseline hemodynamic measurements; ICG targeted drug guide under the treatment of high blood pressure and heart function insufficiency has obvious curative effect, can timely evaluation of cardiac function in patients with hemodynamic responses in the process of recovery. For the early diagnosis of cardiac function damage, not to provide an objective basis for early treatment of heart function, drug therapy can effectively help clinicians timely choose the reasonable, can significantly reduce the morbidity and mortality of heart failure.