[原发性高血压患者动态脉压与左心室肥厚]。

Yang Cao, Shui-ping Zhao, Lin Luo
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引用次数: 0

摘要

目的:探讨原发性高血压患者左室肥厚(LVH)与动态脉压、主动脉根径(AOD)的关系。方法:对107例原发性高血压患者进行24小时动态血压监测和超声心动图检查。以左室质量指数(LVMI)作为评价LVH的指标,将患者分为2组,LVH组29例,非LVH组78例。结果:LVH组与无LVH组24小时脉压、日间脉压、夜间脉压、AOD平均值差异有统计学意义(P < 0.05)。多元逐步回归分析显示,夜间脉压和AOD的变化与LVMI密切相关(P < 0.001)。结论:脉压和AOD是导致原发性高血压患者LVH发生的重要因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Ambulatory pulse pressure and left ventricular hypertrophy in patients with essential hypertension].

Objective: To evaluate the relationship between the left ventricular hypertrophy (LVH) and the ambulatory pulse pressure and aortic root dimension (AOD) in essential hypertensive patients.

Methods: We monitored the 24-hour ambulatory blood pressure and applied echocardiography in 107 essential hypertensive patients. Using the left ventricular mass index (LVMI) as an index in evaluating LVH, the patients were divided into 2 groups: 29 cases in the LVH group and 78 in the non-LVH group.

Results: The average levels of 24-hour pulse pressure, daytime pulse pressure, nighttime pulse pressure and AOD were significantly different between patients with LVH and without LVH (P < 0.05). Multiple stepwise regression analysis showed that the changes in nighttime pulse pressure and AOD were closely related to LVMI (P < 0.001).

Conclusion: The pulse pressure and AOD are important factors leading to LVH in patients with essential hypertension.

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