论文部分内容阅读
目的探讨原发性高血压患者24 h动态血压(24 h ABP)与左室肥厚的关系。方法选择10年以上病史、经冠脉造影或64排CT证实无冠心病的原发性高血压患者61例,分别作24 h ABP及多普勒超声心动图(Doppler echo-cardiography,DECG)检查,观察24 h ABP,包括24 h平均收缩压(24 h SBP)、24 h平均舒张压(24h DBP)、24 h平均脉压(24 h PP)与室间隔厚度(IVST)、左室后壁厚度(LVPWT)的关系。结果24 h SBP、24 h PP与IVST、LVPWT均有相关性(P<0.05)。结论原发性高血压患者的左心室随着24 h SBP增高及24 h PP增大而肥厚。
Objective To investigate the relationship between 24 h ambulatory blood pressure (24 h ABP) and left ventricular hypertrophy in patients with essential hypertension. Methods Sixty-one patients with essential hypertension without coronary heart disease confirmed by coronary angiography or 64-slice CT were enrolled in this study. The 24-h ABP and Doppler echo-cardiography (DECG) (24 h SBP), 24 h mean diastolic pressure (24 h DBP), 24 h mean pulse pressure (24 h PP) and interventricular septum thickness (IVST), left ventricular posterior wall Thickness (LVPWT) relationship. Results The 24 h SBP and 24 h PP were correlated with IVST and LVPWT (P <0.05). Conclusion The left ventricular hypertrophy of patients with essential hypertension with 24 h SBP increased and 24 h PP increased hypertrophy.