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肾素活性、醛固酮及左心室肥厚与动态血压之间的关系 被引量:5

Relationship between Renin Activity,Aldosterone and Left Ventricular Hypertrophy
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摘要 目的探讨血浆肾素活性(PRA)、醛固酮水平和高血压左室肥厚的关联性。方法24入选的高血压病人根据超声心动图测定左室重量指数;放射免疫法测定PRA和血浆醛固酮;动态血压监测24时血压,统计分析其间的关联性。结果左室重量指数和醛固酮水平有紧密相关,而肾素活性相关无统计学上的显著性。单项回归分析醛固酮的数学方程为左室指数等于47.62+0.58醛固酮。多项回归分析入选醛固酮和PRA,其公式为42.57+0.56醛固酮+8.05肾素活性。结论肾素-醛固酮系统的激活在高血压左室肥厚起重要作用。 Aim \ To investigate the relationship of plasma renin activity(PRA),aldostrone level and left ventricular hypertrophy.\ Methods \ Left ventriclular mass index(LVMI) was examined with echocardiography in twenty four hypertensive patients. PRA and aldosterone were examined wtih immunoradioassay.\ Results\ Strong relationship between aldosterone and LVMI(r=0824,P<0009) was found. The regressive analysis shows LVMI=4762+058 aldo,and LVMI=4257+056 aldo+805 PRA.\ Conclusion \ The activity of RAAS is closely related to the formation of left ventricular hypertrophy.\=
作者 王琪 张幼祥
出处 《高血压杂志》 CSCD 1999年第2期108-110,共3页 Chinese Journal of Hypertension
关键词 高血压 左室肥厚 醛固酮 肾素活性 left ventricular hypertrophy \ PRA activity \ aldosterone
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