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老年高血压患者血压变异性与左室肥厚的关系 被引量:4

The relationship between blood pressure variability and left ventricular hypertrophy in elderly hypertensive patients
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摘要 目的探讨老年高血压病患者血压变异性(BPV)与左室肥厚的关系。方法选择216例高血压患者进行24 h动态血压监测(ABPM)和超声心动图检查,分析血压变异性与左室肥厚的关系。结果老年高血压患者合并左室肥厚组与无左室肥厚组比较,年龄、性别、24 h平均血压和血糖、血脂水平无显著差异,但左室肥厚组的24 h收缩压变异性(16.8±1.9 vs 14.3±2.3),白昼(14.9±2.5 vs 13.8±2.4)和夜间(10.8±3.7 vs 9.7±2.9)收缩压变异性均显著大于无左室肥厚组(P<0.05)。结论老年高血压患者收缩压波动与左室肥厚密切相关,可能预测高血压靶器官损害和不良心血管事件。 Objective To explore the relationship between blood pressure variability and left ventricular hypertrophy in elderly hypertensive patients. Methods The ambulatory blood pressure monitoring and eehocardiography were performed in 216 hypertensive paitents. Results There is no difference in clinical characteristic of age, gender, 24-hour mean blood pressure, fasting blood glucose, and blood cholesterol between patients with and without left ventricular hypertrophy. However, systolic blood pressure variability of 24hours (16.8 ± 1.9 vs 14.3 ±2.3), days (14.9 ±2.5 vs 13.8 ±2.4)and nights(10.8 ±3.7 vs 9.7 ± 2.9) were significantly higher in patients with left ventricular hypertrophy than those without left ventricular hypertrophy. Conclusion Systolic blood pressure variability may be associated with left ventricular hypertrophy and predict the target organ damage and adverse cardiovascular events in hypertensive patients.
出处 《中国分子心脏病学杂志》 CAS 2008年第4期233-235,共3页 Molecular Cardiology of China
关键词 高血压 血压变异性 左室肥厚 Hypertension Blood pressure variability Left ventricular hypertrophy
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  • 1刘力松,华琦,刘荣坤,杨峥.24小时平均脉压和诊所脉压对高血压病患者左室结构的影响[J].中国医学影像技术,2003,19(5):595-598. 被引量:23
  • 2张维忠,龚兰生.动态血压与高血压性左室肥厚的关系[J].中华心血管病杂志,1993,21(3):138-140. 被引量:138
  • 3Marching T, Engela G,Henneke KH,et al.Ambulatory blood pressure monitoring:significance of blood pressure variability for progression of heart hypertrophy .Z Kardiol, 1993,82(3) : 187.
  • 4Mancia g, Parati G. Ambulatory blood pressure monitoring and organ damage. Hypertension,2000,36(5):894.
  • 5Ragot S, Herpin D, Siehe JP, et al. Relationship between short-term and long-term blood pressure variabilities in esential hypertensives. J Hum Hypertens,2001,15(1 ) :41.
  • 6Khattar RS,Acharya DC, Kinky C, et al. Longitudinal association of ambulatory pulse pressure with left ventricular mass and vascular hypertrophy in essential hypertension [J]. J Hypcrtens, 1997, 15(7): 737 - 743.
  • 7Oshchepkova EV, Rogova AV, Varakin I, et al. Blood pressure variability(based on 24 hour monitoring data) in mild arterial hypertension[J]. Ter Arkh, 1994,66:70 - 73.
  • 8The International Society of hypertension and the European Society of hypertension. 2003 guidelines for management of hypertension[J]. J Hypertens, 2003, 21: 1011 - 1053.
  • 9Devereux RM, Alonso DR, Lutos EM, et al. Echocardiographyic assessment of left ventrieular hypertrophy: Comparision to necropsy findings[J]. Am J Cardiol,1986,57:450-458.
  • 10Verdecchia P,Schillaci G, Borgioni C, et al. Ambulatory pulse pressure: A potent predictor of total cardiovascular in hypertension[J]. Hypertension, 1998,32(6): 983-998.

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