轻中度高血压病的动态血压水平与心脏功能的关系

Relation between the Dynamic Blood Pressure and Heart Function of Mild or Moderate Hypertension

目的 :对 5 4例轻中度高血压 (EH)患者进行了 2 4h动态血压监测及心脏彩色超声心动图的观察 ,旨在探讨动态血压和心功关系。结果 :轻中度EH患者左室肥厚 (LVH)检出率为 48.1 % ,其中向心性肥厚 (CH)占 75 % ,扩张性肥厚 (DH)占 1 4.3% ,非对称性肥厚占 1 0 .7%。夜间SBP下降 <1 0 %者占 6 6 .7% ,DBP下降 <1 0 %者占 6 1 .1 %。动态血压水平 ,尤其是收缩压水平与心脏舒张功能的相关性较收缩功能密切。结论 :( 1 )轻中度EH患者治疗应注意早期逆转LVH及恢复血压的正常昼夜节律。 ( 2 )动态血压水平 (尤其收缩压水平 )可作为判断轻中度EH患者心脏舒张功能的损害程度的指标之一。

Aim:To discuss the relation between the dynamic blood pressure and heart function.Methods:54 cases of mild or moderate hypertension patients were observed with 24h dynamic blood pressure and colorful ultrasound cardiogram.Results:There were about 48.1% LVH and among them 75% concentric hypertrophy,14.3% distension hypertrophy and 10.7% non-symmetric hypertrophy.66.7% SDP decreased and 61.1% DBP less than 10% in night were detected.It showed that the SBP level was closely related with diastolic heart function than systolic function.Conclusion:The early reversed LVH and resumed normal blood pressure rhythm should be paying much attention to.The dynamic blood pressure level could be one of the data to assess lesion degree of diastolic function in mild or moderate hypertension patients.