冠状动脉病变与动态血压的相关性研究  

Relationship of ambulatory blood pressure and coronary heart disease

作　　者：卞玲[1] 吴士尧[1] 朱文敏[1] 王少敏[1] 

机构地区：[1]上海第二医科大学附属第九人民医院心内科,200011

出　　处：《中国综合临床》2005年第11期966-968,共3页Clinical Medicine of China

摘　　要：目的探讨24h动态血压与冠状动脉病变严重程度的相关性。方法194例行冠状动脉造影的患者同时进行24h动态血压监测。冠状动脉病变的严重程度用冠状动脉病变的血管支数表示。结果合并高血压组冠状动脉双支和三支血管病变的患病率显著高于未合并高血压组(P<0.001);与脉压<60mmHg的患者相比,脉压≥60mmHg的患者冠状动脉双支和三支血管病变的患病率显著增高(P<0.001)。结论脉压与冠状动脉病变严重程度密切相关,最高收缩压是预测冠状动脉病变与否的最佳参数。Objective To evaluate the relationship of 24 h ambulatory blood pressure and severity of coronary heart disease. Methods 194 eases undergoing coronary angiography were taken 24 h ambulatory blood pressure monitoring. The severity of coronary heart disease was expressed by the number of blood vessels involved. Results Patienis with essential hypertension （ EH ） had higher incidence of coronary heart disease with two or three blood vessels involved than those without EH （P 〈 0. 001 ）. Compared with patients with PP 〈 60 mm Hg,patients with PP I〉60 mm Hg had higher incidence of coronary beart disease with two or three blood vessels involved （P 〈 0. 001 ）. Conclusion Pulse pressure is closely related with severity of coronary heart disease. The highest systolic pressure is the best paraneter for predicting coronary heart disease.

关 键 词：冠状动脉疾病 动态血压监测 高血压 

分 类 号：R543.3[医药卫生—心血管疾病]