摘要
目的 了解具有不同的24h动态血压(ABPM)动态曲线模式的高血压(HT)患者对心血管结构功能的影响。方法 对126例经ABPM测定的轻、中度HT患者进行超声心动图检查。结果 杓型与非杓型HT患者在年龄、性别基本相同,非杓型HT组具有更长的病程和更高的平均动态血压,且该组主动脉、主肺动脉内径有增宽的趋势,非杓型HT组左心室舒张功能轻度受损,两组患者的收缩功能均正常,结论根据ABPM动态曲线模式,可以判断轻中度高血压患者出现心血管异常的可能性及对心脏结构功能的损害程度,为临床上早期预测严重的心血管疾病的发生及降压药的选择、疗效的评价提供客观依据。
Objective To study the different 24 hours ambulatory blood pressure monitoring (ABPM) and its change on cardiovascular structure function in mild or moderate hypertension by echocardiogram. Methods 125 patients from one community hypertension out-patient department in Beijing including 60 men and 65 women were divided into Dipper and Non-dipper type. The both groups were subjected to colorful ultrasound cardiogram examination. Results Age, gender was alike in both groups. There were longer disease course and higher average dynamic blood pressure in Non-dipper type group, those had trend to increase the breadth of aorta and main pulmonary artery. Its LV diastolic function was a little damaged, but the systotic function is normal in both groups. Conclusion According to the dynamic curve mode of ABPM, we can estimate the cardiovascular abnormality and its damage degree in mild or moderate hypertension. On the other hand, we can offer all kinds of objective basis served clinic medicine for predicting serious CHD in earlier period and choosing antihypertension drugs.
出处
《中国心血管杂志》
2004年第5期345-347,共3页
Chinese Journal of Cardiovascular Medicine
关键词
杓型与非杓型
超声心动图
24小时动态血压监护
轻中度高血压
Dipper and non-dipper type hypertension
Echocardiogram
Ambulatory blood pressure monitor- ing
Mild or moderate hypertension
