血压晨峰与冠心病心肌缺血事件相关性研究  

Relationship between Morning Blood Pressure Surge and Myocardial Ischemia

作　　者：李铁岭[1] 孟凡华[1] 范利[1] 

机构地区：[1]解放总医院干部诊疗科,北京市100853

出　　处：《中国康复理论与实践》2010年第6期582-584,共3页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的观察冠心病患者中血压晨峰(MBPS)与缺血事件的关系。方法入选2009年2月～2010年1月连续在本院门诊就诊且明确诊断为冠心病合并高血压的老年患者315例,在相邻的1周内行动态血压和24h动态心电图检查。按照动态血压晨峰与否,分为晨峰组和对照组,比较血压晨峰和心肌缺血时间。结果晨峰组患者年龄更高,心肌缺血事件发生率明显高于对照组,经过年龄、性别、吸烟等变量进行校正后,血压晨峰对于总心肌缺血和症状性心绞痛仍具有统计学意义。结论血压晨峰与冠心病心肌缺血事件密切相关,是心血管事件的重要危险因素。Objective To investigate the relation between morning blood pressure surge（MBPS） and myocardial ischemia.Methods 315 patients with primary hypertension and coronary heart disease were received Holter and non-invasive ambulatory blood pressure monitoring（ABPM）.According to the morning blood pressure raised,they were divided into MBPS group and no-MBPS group.Then the ABPM and Holter data were compared.Results The patients in MBPS group were older.The myocardial ischemia events were more common in MBPS group than in no-MBPS group.The logistic regress showed that the MBPS was related to myocardial ischemia events even after corrected by age,smoke,and sex.Conclusion MBPS is a risk factor of myocardial ischemia.

关 键 词：高血压 血压晨峰 心肌缺血 

分 类 号：R544[医药卫生—心血管疾病] R541.3[医药卫生—内科学]