Echocardiogram evaluation of cardiovascular functions of acute mountain sickness patient before and after returning plain / 医疗卫生装备

ABSTRACT

Objective To investigate the values of echocardiogram for evaluating the changes of left ventricular structure and cardiovascular function of the acute mountain sickness (AMS) patient before and after returning the plain.Methods A total of 33 light AMS patients returning to the plain in time underwent echocardiogram examinations on some cardiovascular indexes before and after returning the plain,including stroke volume (SV),cardiac output (CO),left atrial volume index (LAVI),left ventricular end-diastolic volume (LVEDV),early diastolic mitral flow velocity (E),late diastolic mitral flow velocity (A) and so on.Results The values of heart rate (HR),systolic blood pressure (SBP),diastolic blood pressure (DBP),CO,A and LAVI after going to the plateau were all significantly higher than those before going to the plateau (P＜0.05),while the values of SV,E,E/A and LVEDV were obviously lower (P＜0.05).The values of HR,SBP,DBP,CO,A,E and E/A recovered respectively 1 month after going to the plateau when compared with those before going to the plateau (P＜0.05),while did not restore to the ones before going to the plateau (P＜0.05),and the values of LVEDV,LAVI and SV reached the level before going to the plateau (P＜0.05).The values of LVEDV,SV,SBP,LAVI and E 1 week after returning to the plain came to the level before going to the plateau (P＜0.05),and the values of CO,HR,DBP and A were significantly higher (P＜0.05) while the value of E/A was statistically lower (P＜0.05).Conclusion Echocardiogram can be used to evaluate the left ventricular structure and cardiovascular function of the AMS patient,especially for those light AMS patients in acclimatization period or before and after returning to the plain.