老年高血压伴左室肥厚与动态血压参数相关性分析

目的 观察老年高血压伴左室肥厚(hypertension with left ventricular hypertrophy,HLVH)患者24 h动态血压波动的特点,制定相关治疗措施.方法 76例老年高血压患者根据心脏多普勒超声结果分为高血压伴左室肥厚组(HLVH)35例、单纯高血压组(NHLVH)41例,采用动态血...

Analysis of the ABPM parameters in senile hypertension with left ventricular hypertrophy

Objective To investigate the details about the 24-hour blood pressure fluctuation in senile hypertension with left ventricular hypertrophy.Methods Seventy six senile patients with hypertension were divided into two groups according the result of echocardiography：senile hypertension with left ventricular hypertrophy（HLVH,n=35）,single senile hypertension（NLVH,n=41）.The fluctuating feature of the 24-hour blood pressure in two groups were compared by 24-hour ambulatory blood pressure monitoring（ABPM）.Results In patients with left ventricular hypertrophy,the 24-hour mean systolic blood pressure（mSBP）,the day mSBP,the night mSBP,the night mean diastolic blood pressure（nmDBP）,the night DBP load（nDBPL）,the day SBP load（dSBPL）,the night SBP load（nSBPL）and 24-hour mean pulse pressure（mPP） were significantly higher compared with the single senile hypertension（P0.05）,the proportion of the non-dipper hypertension was of the same case（P0.05）.Conclusion The study of the details about the 24-hour blood pressurefluctuation can help us to carry out the related treatment measure in senile hypertension with left ventricular hypertrophy.