| 高血压病患者血压晨峰与心血管重构的关系 |
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| 引用本文： | 李萍,李俭春,周国宝,孙康云.高血压病患者血压晨峰与心血管重构的关系[J].心脏杂志,2011,23(1):80-81. |
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| 作者姓名： | 李萍 李俭春 周国宝 孙康云 |
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| 作者单位： | 1.南京军区南京总医院心内科，江苏 南京 210002；2.南京医科大学附属苏州医院心内科，江苏 苏州 215001 |
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| 摘 要： | 目的: 观察高血压病患者血压晨峰（morning blood pressure surge,MBPS）与心脏肥大和颈动脉内膜-中膜厚度(IMT)的关系。方法: 高血压病患者386例。根据动态血压检测结果，分为晨峰组（146例）和非晨峰组（240例），全部病例同步记录24 h动态血压和动态心电图，观察指标为24 h动态血压参数；超声技术检测左室质量指数（LVMI）、左房内径（LAD）、颈动脉IMT等指标。结果: 晨峰组与非晨峰组比较:LVMI分别为（119±21）g/m2和（92±12）g/m2(P<0.01) ；LAD分别为（46±11）mm与（38±10）mm（P<0.05）；颈动脉IMT分别为（1.36±0.24）mm与（0.92±0.18）mm（P<0.01）；左室肥厚(LVH)的检出率分别为67%与30%（P<0.01）。结论: 与无血压晨峰的高血压病患者比，具有血压晨峰的高血压病患者LVH和颈动脉硬化更显著，心血管重构更显著，左心房内径更大。
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| 关 键 词： | 血压，晨峰 心血管重构 左心室肥厚 颈动脉 |
| 收稿时间： | 2010-01-27 |
Association between morning blood pressure surge and cardiovascular remodeling in patients with hypertension |
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| LI Ping,LI Jian-chun,ZHOU Gou-bao,SUN Kang-yun.Association between morning blood pressure surge and cardiovascular remodeling in patients with hypertension[J].Chinese Heart Journal,2011,23(1):80-81. |
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| Authors: | LI Ping LI Jian-chun ZHOU Gou-bao SUN Kang-yun |
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| Affiliation: | LI Ping1,LI Jian-chun1,ZHOU Gou-bao2,SUN Kang-yun2 (1.Department of Cardiology,General Hospital,Nanjing Military Area Command,Nanjing 210002,Jiangsu,China,2.Department of Cardiology,Suzhou Hospital,Nanjing Medical University,Suzhou 215001,China) |
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| Abstract: | AIM: To evaluate the association between morning blood pressure surge(MBPS) and cardiovascular remodeling in hypertensive patients.METHODS: A cohort of 386 patients with hypertension under 24 h ambulatory blood pressure monitoring were categorized as MBPS group(n=146) and non-MBPS group(n=240).Left ventricular mass index(LVMI) and thickness(IMT) of carotid artery were measured by ultrasonography in all patients and left ventricular hypertrophy(LVH),left atrial dimension(LAD) and intima-media thickness were ... |
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| Keywords: | morning blood pressure surge cardiovascular remodeling left ventricular hypertrophy carotid artery |
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