高血压患者血压控制与心律失常、心肌缺血及左室肥厚的关系——附301例临床病例分析  

Relationship among blood pressure level and cardiac arrhythmia,myocardial ischemia and left ventricular hypertrophy in patients with essential hypertension

作　　者：汤华[1] 

机构地区：[1]南京医科大学第三附属医院心内科,江苏仪征211900

出　　处：《心血管康复医学杂志》2001年第3期209-211,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的 :探讨高血压患者血压控制程度与心律夫常、心肌缺血及左室肥厚的关系。方法 :回顾分析 30 1例高血压病患者血压控制程度与心律失常、心肌缺血及左室肥厚发生率的关系。结果 :血压控制不佳者其室性心律失常发生率为 14.4% ,心肌缺血为 2 4.7% ,左室肥厚为 15 .0 % ,均明显高于血压控制正常者 ,且有随病程而增加的趋势。结论 :血压控制水平与心律失常、心肌缺血及左室肥厚的发生关系密切 。Objective:To explore the relationship among blood pressure(BP) level and ventricular arrhythmia(VA),myocardial ischemia(MI),left ventricular hypertrophy(LVH) in patients with essential hypertension(EH).Methods:Data of 301 patients with EH from 1995 to 2001 were reviewed,and the rate of VA,MI,LVH between BP stable group and unstable group were compared.Results:The incidence of VA(14 4%),MI(24 7%),LVH(15 0%) in BP unstable group were significantly higher than that in BP stable group (2 4%,8 7%,6 3%) ( P <0 05).Which increased with advance of disease ( P <0 05).Conclusion:The control of blood pressure level is closely correlated with CA,MI,LVH.

关 键 词：高血压 心律失常 心肌缺血 左室肥厚 血压控制 

分 类 号：R544.1[医药卫生—心血管疾病] R541.7[医药卫生—内科学]