老年高血压患者血压晨峰与卒中、左心室肥厚及对颈动脉
IMT增厚的关系
王吉;杜凯音;骆雷鸣;伊双艳;秦爱梅;王浩;朱兵;王津;孙洪良;张洋;胡智
【期刊名称】《中国循证心血管医学杂志》 【年(卷),期】2014(000)002
【摘要】Objective To investigate the relationship between morning blood pressure surge (MBPS) and stroke, left ventricular hypertrophy (LVH) and carotid intima-media thickness (CA-IMT) in elderly patients with essential hypertension. Methods The aged hypertensive patients (n=280) treated with anti-hypertension therapy were given 24-h ambulatory blood pressure monitoring (ABPM) and divided into MBPS group (n=96, MBPS≥35 mmHg) and non-MBPS group (n=184, MBPS<35 mmHg). The data of stroke history was collected from the patients, and all patients were given echocardiogram and carotid artery ultrasound examinations. The indexes of blood fat, plasma glucose and renal function were detected and recorded in 2 groups. The relationship between MBPS and stroke, LVH and CA-IMT was investigated. Results The incidence rate of stroke was 40.6%in MBPS group and 28.3%in non-MBPS group (P<0.01). The incidence rate of LVH was 54.2%in MBPS group and 40.2%in non-MBPS group (P<0.05). The incidence rate of CA-IMT incrassation was 65.6%in MBPS group and 52.7%in non-MBPS group (P<0.05). Conclusion The incidence rates of stroke, LVH and CA-
老年高血压患者血压晨峰与卒中、左心室肥厚及对颈动脉IMT增厚的关系
