应激状态下血压升高与冠状动脉狭窄的相关性研究  

Correlation between elevated blood pressure under stressstate and coronary artery stenosis

作　　者：杨瑞金[1] 于军[1] 肖扬[1] 陈万强[1] 白玲强[1] 李永慧[1] 吴西娟 田莉[1] 

机构地区：[1]解放军第三医院心内科,陕西宝鸡721004

出　　处：《临床心血管病杂志》2013年第4期277-278,共2页Journal of Clinical Cardiology

摘　　要：目的:探讨非高血压患者在应激状态下血压升高与其冠状动脉(冠脉)狭窄的相关性。方法:选择1 141例疑诊冠心病的非高血压患者,均行冠脉造影检查,其中将造影过程中监测血压≥140/90mmHg(1mmHg=0.133kPa)的患者列为观察组,而血压<140/90mmHg为对照组,观察术中血压升高者与其冠脉狭窄的关系。结果:对照组和观察组冠脉造影正常者分别为44%和22%(P<0.05),冠脉狭窄≥50%者分别为17%和33%(P<0.05)。结论:对于非高血压患者,冠脉狭窄与应激状态下血压升高有关。Objective：To investigate the correlation between coronary artery stenosis and elevated blood pressure under stress in non hypertensive patients. Method：We selected 1 141 non hypertensive patients who were suspected coronary artery disease and performed coronary artery angiography.The patients with blood pressure ≥140/90 mmHg（1 mmHg=0.133） during the coronary angiography were in observation group,while the patients with blood pressure 140/90 mmHg during the coronary angiography were in control group.The correlation between coronary artery stenosis and elevated blood pressure was observed. Result：The rates of normal coronary artery were 44% and 22%（P0.05）,and rates of coronary stenosis ≥50% were 17% and 33%（P0.05） in control group and observation group,respectively. Conclusion：Coronary artery stenosis is related to the elevated blood pressure under stress in non hypertensive patients.

关 键 词：高血压 冠状动脉狭窄 应激 冠状动脉造影 

分 类 号：R544.1[医药卫生—心血管疾病]