乌鲁木齐市头屯河区高血压病与急性心肌梗塞关系的探讨

Relationship between Hypertension and Acute Myocardial Infarction in Toutun River District of Urumqi

本文总结了头屯河区４７６例高血压病患者，治疗随访１２年，其中３５７例单纯高血压病患者发生急性心肌梗塞４３例，发病率为１２．０％，４９例高血压病合并高胆固醇血症患者发生急性心肌梗塞２３例，发病率为４７．２％，显著高于单纯高血压病组（Ｐ＜０．００５）。本文结果支持高血压病与急性心肌梗塞之间存在有因果关系，高血压病是急性心肌梗塞的重要易患因素：当合并高胆固醇血症时，则急性心肌梗塞的发病率显著升高，提示高胆固醇血症可加速高血压病患者冠状动脉粥样硬化的发生与发展。

This paper summarizes the results of 476 cases of hypertension in Toutun River district.These cases were treated and followed up for l2 years.The result showed that there were 357 cases with primary hypertension in which 43 cases developed acute myocardial infarction(AMI).The incidence rate was l2%.49 cases of hypertension were complicated with hypercholesterolemia in which 23 cases developed AMI.The incidence was 47.2%.It is concluded that the relation between hypertension and AMI is causal,Hypertension is a predisposing important factor in occurrence of AMI.When hypertension is complicated with hypercholesterolemia,the incidence of AMI is extremely high.The above results suggest that hypercholesterolemia enormously facilitates the develop ment of coronary atherosclerosis for patients with hypertension.