血压晨峰与原发性高血压患者心律失常及心肌缺血的关系  

Relationship between morning peak of blood pressure and arrhythmia and myocardial ischemia in patients with essential hypertension

作　　者：杨莲 翁一文 YANG Lian;WENG Yi-wen(Jinniu Hospital of Sichuan people's Hospital,Sichuan Chengdu 610036,China)

机构地区：[1]四川省人民医院金牛医院,四川成都610036

出　　处：《中西医结合心血管病电子杂志》2020年第6期4-4,29,共2页Cardiovascular Disease Electronic Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的深入分析及研究血压晨峰与原发性高血压患者心律失常及心肌缺血之间是否存在一定的关联性。方法选取本院2017年6月~2018年6月的80名原发性高血压患者作为此次研究对象,依照每位患者的动态血压结果随机分为两组,对照小组与观察小组。血压晨峰值大于23.6 mmHg柱的患者归类到对照小组,血压晨峰值小于23.6 mmHg的患者归类到观察小组,各40名。对全部患者实施全天性动态心电图与动态血压监测,同时对比两组心律失常和心肌缺血引发状况。结果两组病人的一般临床状况存在一定的可比性,相较于观察组,对照组高血压患者出现频发房性早搏、房速、室性早搏与室速等心律失常症状几率较大,两组相比差异有统计学意义。对照组患者出现心律失常人数要比观察组多,同时易发生ST段改变,ST-T改变与T波改变均无明显差异。对照组患者出现心肌缺血概率要比观察组高。结论如果血压晨峰与原发性高血压患者心律失常及心肌缺血概率上涨,特别是房性早搏发生率,由此血压晨峰与原发性高血压患者心律失常及心肌缺血之间的联系非常紧密,可在临床上进行推广。Objective To analyze and study whether there is a certain correlation between blood pressure morning peak and arrhythmia and myocardial ischemia in patients with essential hypertension.METHODS Eighty patients with essential hypertension from June 2017 to June 1818 were enrolled in this study.The dynamic blood pressure results of each patient were randomly divided into two groups,the control group and the observation group.Patients with a peak blood pressure greater than 23.6 mm Hg were classified in the control group,and patients with a peak blood pressure of less than 23.6 mm mm Hg were classified in the observation group,with 40 in each group.All-day dynamic electrocardiogram and ambulatory blood pressure monitoring were performed in all patients,and the arrhythmia and myocardial ischemia were compared between the two groups.RESULTS There was a certain degree of comparability in the general clinical status between the two groups.Compared with the observation group,the hypertensive patients in the control group had a high incidence of atrial arrhythmia,atrial tachycardia,ventricular premature beats and ventricular tachycardia.The difference between the two groups was statistically significant.In the control group,there were more arrhythmia than the observation group,and ST segment changes were easy to occur.There was no significant difference between ST-T changes and T wave changes.The probability of myocardial ischemia in the control group was higher than that in the observation group.Conclusion If the blood pressure morning peak and essential hypertension patients have arrhythmia and myocardial ischemia probability,especially the incidence of atrial premature beats,thus the relationship between blood pressure morning peak and arrhythmia and myocardial ischemia in patients with essential hypertension The link is very close and can be promoted clinically.

关 键 词：血压晨峰 原发性高血压 心律失常 心肌缺血 

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