老年男性左室肥厚和危险因素临床分析

A clinical analysis of left ventric ular hypertrophy and risk factors in aged men

用超声心动图检测９８６名老年男性干部，左室肥厚（ＬＶＨ）３０２例，发生率为３０．６％。条件Ｌｏｇｉｓｔｉｃ回归分析表明，ＬＶＨ危险因素为ＳＴ－Ｔ改变、心肌梗塞、收缩压、体重指数、心绞痛和高血压病Ⅱ期；ａｐｏＡ－Ⅰ／ａｐｏＢ－１００≥１．４为ＬＶＨ发生的保护因素。

Abstract Left ventricular hypertrophy (LVH) was detected echocardiographically in 302 men out of 986 retired men aged 60 to 86. The prevalence of LVH was 30.6%. In multivariate analysis, changes in ST-T, myocardial infarction, high systolic blood pressure, high body mass index, angina and hypertension grade Ⅱ were risk factors. Apo A-Ⅰ/apo B-100 ratio≥1.4 was a protective factor. We concluded that left ventricular hypertrophy in aged men is a common echocardiographic finding. Several risk factors can be identified.