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原发性醛固酮增多症患者与左心室肥厚
引用本文:洪维,龚艳春,初少莉,陈绍行,郭冀珍,朱鼎良.原发性醛固酮增多症患者与左心室肥厚[J].高血压杂志,2008,16(2):112-116.
作者姓名:洪维  龚艳春  初少莉  陈绍行  郭冀珍  朱鼎良
作者单位:上海市瑞金医院高血压科,上海200025
基金项目:上海市卫生局课题(编号:2006041)
摘    要:目的探讨原发性醛固酮增多症(原醛)及其主要亚型:腺瘤型和增生型的左室肥厚情况。方法入选确诊原醛患者250例。其中142例行分侧肾上腺静脉取血,分为原醛腺瘤组68例,原醛增生组74例,选取同期年龄、性别、24小时平均血压相匹配的原发性高血压(EH)患者246例作为对照,所有入选者记录一般临床资料和生化指标,并行超声心动图检查。结果1)左室舒张末期内径原醛组(49.6±4.3)mm]高于EH组(48.3±4.2)mm,P〈0.053,原醛组左室后壁厚度原醛组(10.5±2.2)mm vs EH组(9.9±1.1)mm]、左室质量(LVM)原醛组(232.2±75.1)g vs EH组(207.5±46.6)g]、左室质量指数(LVMI)原醛组(131.9±37.4)g/m^2 vs EH组(118.3±23.7)g/m^2]显著高于EH组(P均〈0.01)。2)在原醛组中LVMI与收缩压及立位血浆醛固酮独立相关。3)1级高血压中原醛组的LVMI高于EH组,但差异无统计学意义(P〉0.05);2级、3级高血压中,原醛组的LVMI高于EH组(P〈0.05或P〈0.01)。4)左室后壁厚度原醛组(10.8±3.0)gVSEH组(10.3±1.3)g,P〈0.053;、LVM原醛组(249.5±81.7)g vs EH组(219.4±67.7)g,P〈0.01]、LVMI原醛组(139.9±41.0)g/m^2 vs EH组(125.1±32.9),P〈0.01]原醛腺瘤组显著高于原醛增生组。5)左室肥厚在EH组、原醛腺瘤组和增生组的构成比分别为42.7%,63.2%和43.2%,3组之间差异有统计学意义(P=0.009)。结论原醛患者左室肥厚的发病率高于EH患者,其中以原醛腺瘤组更为严重。

关 键 词:原发性醛固酮增多症  左室肥厚  左室质量  左室质量指数

Left Ventricular Hypertrophy in Patients with Primary Aldosteronism
HONG Wei,GONG Yan-chun,CHU Shao-li CHENG Shao-xing,GUO Ji-zhen,ZHU Ding-liang.Left Ventricular Hypertrophy in Patients with Primary Aldosteronism[J].Chinese Journal of Hypertension,2008,16(2):112-116.
Authors:HONG Wei  GONG Yan-chun  CHU Shao-li CHENG Shao-xing  GUO Ji-zhen  ZHU Ding-liang
Institution:HONG Wei,GONG Yan-chun,CHU Shao-li CHENG Shao-xing,GUO Ji-zhen,ZHU Ding-liang.Department of hypertension,Shanghai Ruijing Hospital,Shanghai 200025,China
Abstract:Objective To analysis the parameters of left ventricular hypertrophy(LVH) in patients with primary aldosteronism(PA).Methods Two hundred fifty patients were diagnosed as primary aldosteronsim in this study.One hundred fouty two PA patients undergone the adrenal venous sampling(AVS).Adenomas) APA) were diagnosed in 68 patients and idiopathic hyperaldosteronism(IHA) in 74 patients.During the same period, clinical characteristics and cardiovascular events of this group were compared with those of 246 patients ...
Keywords:Primary aldosteronism  Left ventricular hypertrophy  Left ventricular mass  Left ventricular mass index  
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