摘要
目的 :探讨老年人高血压 (EH)的特征及血压水平与心脏病的关系。方法 :按 1999年 WHO/ ISH高血压防治指南和心电图 (ECG)明尼苏达编码标准 ,对接受健康体检的 1892名老年人的血压及 ECG等资料进行分析。结果 :1正常高值血压 ,1、 2、 3级 EH,单纯收缩期高血压 (ISH)分别占 13.4%、 12 .1%、 15 .2 %、 8.9%及 16 .9% ;2血压水平与 ST- T改变、Ptfv1 异常显著相关 (P=0 .0 1) ,与 L VH呈连续性相关 (P=0 .0 0 5 ) ;3正常高值血压组的ST- T改变比正常血压组显著增加 (P<0 .0 1) ;4ISH组 ST- T改变、 L VH发生率也显著高于正常高值血压组 (P<0 .0 0 1)。结论 :老年人心脏病与血压升高密切相关。ISH也是老年人心脏病的一个独立影响因素。在正常高值血压水平 (130～ 139/ 85～ 89m m Hg)时 。
Objective:To study the characters of the hypertension and the relationship between essential hypertension(EH) and cardiovascular disease in the aged.Methods:Based on the WHO/ISH Hypertension Guideline for Management Hypertension in year 1999 and ECG Minnesota Coding System,the relationship between the blood pressure(BP) and electrocardiogrram(ECG) data were analysed among 1892 cases of the aged.Results:① The normal\|high BP,grade 1、2、3 of hypertension and isolated systolic hypertension(ISH) made up 13 4,12 1,15 2,8 9 and 16 9 percaent of total 1892 cases respectively;② The unusual ST、T、 Ptfv 1 were markedly correlation to the level of BP ( P =0 01),the LVH was too ( P =0 005);③ The abnormal ST、T were significant higher in the normal\|high BP group than in the normal BP group( P 均<0 01);④ The incidence of unusual ST、T and LVH were significant higher in the ISH group than in the normal\|high BP group( P <0 01).Conclusion:The heart disease of the aged is markedly related to the increase of the BP level.ISH is a independent risk factor for the heart disease of the aged.The morbidity of heart disease is already higher during in the normal\|high BP (130~139/85~89mmHg) Author′s address Jiangtou Hospital of Xiamen,361009
出处
《心血管康复医学杂志》
CAS
2000年第4期35-38,共4页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
老年人
血压
心脏病
Aged
Blood pressure
Heart disease
