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老年高血压并左室肥厚患者冠脉狭窄改变的特点及其临床意义
引用本文:龚卫琴 赵连友. 老年高血压并左室肥厚患者冠脉狭窄改变的特点及其临床意义[J]. 高血压杂志, 1997, 5(3): 205-207
作者姓名:龚卫琴 赵连友
作者单位:第四军医大学,西京医院老年病科,唐都医院心内科,西京医院心内科
摘    要:目的探讨年龄和左室肥厚(LVH)对冠脉狭窄的影响。方法复习81例伴高血压的冠心病患者超声心动图和冠脉造影资料,观察年龄和LVH与冠脉狭窄间的关系。结果(1)老年LVH组冠脉狭窄分级明显高于非老年LVH组(P<0.01)和老年无LVH组(P<0.01)。(2)年龄和左室重量指数(LVMI)与冠脉狭窄分级间,分别存在明显的正相关(r=0.56,P<0.01和r=0.46,P<0.01)。结论伴高血压LVH的老年冠心病患者,冠脉狭窄重、范围广。

关 键 词:高血压;左室肥厚;冠状动脉疾病

Changes and Clinical Significance of Coronary Stenosis in Elderly Hypertensive Patients with Left Ventricular Hypertrophy
Gong Weiqin ,Zhao Lianyou ,Zheng Changzhu ,Li Yuan ,Cui Zhixian. Changes and Clinical Significance of Coronary Stenosis in Elderly Hypertensive Patients with Left Ventricular Hypertrophy[J]. Chinese Journal of Hypertension, 1997, 5(3): 205-207
Authors:Gong Weiqin   Zhao Lianyou   Zheng Changzhu   Li Yuan   Cui Zhixian
Affiliation:Gong Weiqin 1,Zhao Lianyou 2,Zheng Changzhu 3,Li Yuan 1,Cui Zhixian 1
Abstract:Aim This study investigated the influence of left ventricular hypertrophy(LVH) and age on coronary stenosis. Methods Reviewed the echocardiography and coronary angiography of eighty one hypertensive patients complicated with coronary disease. Relations between age,LVH and coronary stenosis were observed. Results The grades of coronary stenosis in elderly patients with LVH were obviously higher than that in non elderly with LVH(P<0 01) and that in elderly patients without LVH(P<0 01). The grades of coronary stenosis positively correlated with left ventricular mass index and age respectively(r=0 46, P<0 01 and r=0 56, P<0 01). Conclusion It suggest that the degree and extent of coronary stenosis are more severe and greater in elderly patients with coexisting coronary heart disease, hypertension and LVH.
Keywords:hypertension  left ventricle hypertrophy  coronary artery disease  
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