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目的分析伴ST-T改变高血压左心室肥厚(LVH)和非LVH患者与冠心病的关系。方法比较分析伴ST-T改变高血压LVH患者106例,非LVH患者130例冠状动脉造影(CAG)结果。结果伴ST-T改变高血压LVH患者和非LVH患者CAG阳性率分别52.8%和37.7%(P<0.05)。CAG显示1支病变、2支病变和3支病变的发生率LVH患者分别为15.1%、23.6%和14.2%,非LVH患者分别为14.6%、12.3%和10.8%。冠状动脉中度狭窄、重度狭窄和完全闭塞LVH患者分别为37.7%、9.4%和5.7%,非LVH患者分别为25.4%、8.5%和3.8%。结论伴ST-T改变高血压LVH患者冠心病发生率较非LVH患者高,2支病变和中度狭窄的发生率较非LVH患者要高(P<0.05)。
Objective To analyze the relationship between coronary heart disease and ST-T in hypertensive patients with left ventricular hypertrophy (LVH) and non-LVH. Methods The results of coronary angiography (CAG) in 106 patients with hypertensive LVH and 130 non-LVH patients were compared and analyzed. Results The positive rates of CAG in LVH patients with and without LVH were 52.8% and 37.7%, respectively (P <0.05). CAG showed 15.1%, 23.6%, and 14.2% of patients with LVH, 1 disease, 2 lesions and 3 lesions respectively, compared with 14.6%, 12.3% and 10.8% in non-LVH patients, respectively. Patients with moderate coronary stenosis, severe stenosis, and complete occlusion were 37.7%, 9.4%, and 5.7%, respectively, and non-LVH patients were 25.4%, 8.5%, and 3.8%, respectively. Conclusion The incidence of coronary heart disease in hypertensive LVH patients with ST-T is higher than that in non-LVH patients. The incidence of 2 lesions and moderate stenosis is higher than that of non-LVH patients (P <0.05).