摘要
目的探讨老年原发性高血压患者并发阵发性心房颤动的预测因子。方法87例老年原发性高血压患者分为两组。A组:并发阵发性心房颤动(PAF)的老年原发性高血压患者41例,B组:无PAF的老年原发性高血压患者46例;全部病例均进行同步12导联心电图、彩色多普勒超声心动图检查及24 h动态血压监测。结果A组P波离散度(Pd)、P波最大时限(Pm ax)、左心室心肌重量指数(LVM I)、24 h平均收缩压(24 hSBP)、夜间平均收缩压(nSBP)均显著大于B组(均为P<0.05)。Logistic逐步回归分析结果显示Pd、LVM I、nSBP均为老年原发性高血压患者并发PAF的独立预测因子(P<0.05)。结论Pd、LVM I、nSBP可以作为老年原发性高血压患者并发PAF的独立预测因子。
Objective To investigate the prcdicators of paroxysmal atrial fibrillation （PAF） in elderly hypertensive patients. Methods 87 elderly hypertensive cases were divided into two groups： group A （ n = 41 ） with PAF and group B （n =45） without PAF. 12-lcad electrocardiogram,24h ambulatory blood pressure monitoring and echocardiography were performed in both groups. Results The P-wave dispersion （Pd ）, maximum P-wave duration （Pmax） ,left ventricular mass index （LVMI） ,24 h mean systolic blood pressure （24 h SBP） and nighttime mean systolic blood pressure （nSBP） were significantly higher in group A than those in group B （P 〈 0.05 ）. Pd, LVMI and nSBP were found to be the significantly independent predictors of PAF by Logistic regression analysis （P 〈 0.05）. Conclusion Pd, LVMI and nSBP may be used as independent predictors of PAF in elderly hypertensive patients.
出处
《中国综合临床》
北大核心
2006年第4期302-304,共3页
Clinical Medicine of China
