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老年高血压性左心室肥厚与缺血性脑卒中关系的临床探讨
引用本文:曹悦鞍,彭朝胜,夏菁,龙南展.老年高血压性左心室肥厚与缺血性脑卒中关系的临床探讨[J].海军总医院学报,2003,16(1):25-27.
作者姓名:曹悦鞍  彭朝胜  夏菁  龙南展
作者单位:海军总医院干三科,北京,100037
摘    要:目的探讨老年高血压性左心室肥厚患者与缺血性脑卒中发病的关系。方法选择40例单纯高血压病组和42例高血压合并左心室肥厚组的老年患者进行对比分析。经二维超声心动图检测2组患者左心室后壁厚度、室间隔舒张末期厚度,左心室舒张末期直径,计算左心室重量指数,并行头颅核磁共振检查。结果单纯高血压组合并缺血性脑卒中7例(17.50%),高血压合并左心室肥厚组22例(52.38%),两组比较差异显著,P<0.01。高血压合并左心室肥厚组随着左心室重量指数的增加,其缺血性脑卒中的发病率也随之有所增高。结论高血压伴心肌肥厚者较单纯性高血压病更易发生缺血性脑卒中,且其患病率随左心室重量指数的增加而增高。

关 键 词:原发性高血压  左心室肥厚  缺血性脑卒中  老年
文章编号:1009-3427(2003)01-0025-03
修稿时间:2002年6月26日

Clinical Study on the Relation of Elderly Essential Hypertension with Left Ventricular Hypertrophy and Ischemic Stroke
CAO Yue-an,PENG Chao-sheng,XIA Jing,et al.Clinical Study on the Relation of Elderly Essential Hypertension with Left Ventricular Hypertrophy and Ischemic Stroke[J].Journal of Naval General Hospital of PLA,2003,16(1):25-27.
Authors:CAO Yue-an  PENG Chao-sheng  XIA Jing  
Abstract:Objective To investigate the relationship between hypertension with left ventricular hypertrophy and ischemic stroke (IS) in the elderly. Methods Two-dimensional echocardiography and magnetic resonance imaging (MRI) of skull were performed in 40 elderly simple essential hypertension EH1) and 42 elderly essential hypertension with left ventricular hypertrophy (EH2). The left ventricular end-diastolic diameter (LVDd), interventricular septum end-diastolic thickness (FVST), left ventricular posterior wall thickness (PWT) were determined and the left ventricular mass index (LVMI) were calculated. Results The patients with IS were 22 of the 42 cases in EH2 (52.38%), but only 7 of the 40 cases in EH1( 17.5% ). The incidences of the ischemic stroke showed significant difference between two groups, P < 0.01. In EH2 the morbidity of IS was strongly related to the increase of LVMI. Conclusion Ischemic stroke was easier to occur in essential hypertension with left ventricular hypertrophy than in simple essential hypertension. There were positive relations between the LVMI and morbidity of IS.
Keywords:Essential hypertension  Left ventricular hypertrophy  Ischemic stroke  Elderly
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