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老年原发性高血压患者24小时动态血压与左室肥厚的关系
引用本文:朱雅琴,黄震华,徐济民.老年原发性高血压患者24小时动态血压与左室肥厚的关系[J].老年医学与保健,2008,14(1):49-51.
作者姓名:朱雅琴  黄震华  徐济民
作者单位:1. 上海交通大学医学院附属第九人民医院心肺功能科,上海,200011
2. 上海交通大学医学院附属第九人民医院心内科,上海,200011
摘    要:目的观察老年原发性高血压患者24h动态血压与左室肥厚的关系。方法选择老年原发性高血压患者58例,分别作24小时动态血压及心脏超声心动图检查,观察24h动态血压(包括24h平均收缩压、24h平均舒张压、24h平均脉压)与室间隔厚度、左室后壁厚度的关系。结果24h平均收缩压、24h平均脉压与室间隔厚度、左室后壁厚度有相关性(分别为前者:r=0.415、P〈0.01,r=0.363、P〈0.01;后者:r=0.336,P〈0.05,r=0.346,P〈0.05)。结论老年原发性高血压患者随着24h平均收缩压增高、24h平均脉压增大而左室肥厚。

关 键 词:血压测定  原发性高血压  老年人  肥大  左心室
文章编号:1008-8296(2008)-01-0049-03
修稿时间:2007年6月8日

Correlation between 24h ambulatory blood pressure and left ventricular hypertrophy in elderly patients with essential hypertension
ZHU Ya-qin,HUANG Zhen-hua,XU Ji-min.Correlation between 24h ambulatory blood pressure and left ventricular hypertrophy in elderly patients with essential hypertension[J].Geriatrics & Health Care,2008,14(1):49-51.
Authors:ZHU Ya-qin  HUANG Zhen-hua  XU Ji-min
Affiliation:ZHU Ya-qin1, HUANG Zhen-hua2, XUJi-min2(1.Department of Cardiac and Pulmonary, Function, 2.Department of Cardiology, No.9 People's Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200011, China)
Abstract:Objective To observe the correlation between 24 h ambulatory blood pressure and left ventricular hypertrophy in elderly patients with essential hypertension.Methods In 58 elderly patients with essential hypertension,24 h ambulatory BP was monitored and echocardiography was recorded.The correlation between 24 h ambulatory BP,24 h systolic BP,24 h diastolic BP,mean 24 h ambulatory pulse pressure,interventricular septal thickness(IVST)and left ventricular posterior wall thickness(LVPWT)was observed.Results There was a significant correlation between 24 h SBP and IVST(r =0.415,P<0.01),24 h SBP and LVPWT(r =0.363,P<0.01),24 h PP and IVST(r =0.336,P<0.05),and 24 h PP and LVPWT(r =0.346,P<0.05).Conclusions Left ventricular hypertrophy increased with 24 h SBP and 24 h PP increasing in elderly patients with essential hypertension.
Keywords:Blood pressure determination  Hypertension  Aged  Hypertrophy  Left ventricular
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