| 脉压对老年患者冠脉病变严重程度的预测价值 |
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| 引用本文： | 张倩,秦勤,赵炳让,路雅茹,李杨.脉压对老年患者冠脉病变严重程度的预测价值[J].中国分子心脏病学杂志,2011,11(4):199-201. |
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| 作者姓名： | 张倩 秦勤 赵炳让 路雅茹 李杨 |
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| 作者单位： | 1. 300070,天津医科大学研究生院
2. 300021,天津市胸科医院心内三科 |
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| 摘 要： | 目的探讨老年患者脉压与冠脉病变严重程度之间的关系。方法 268例行冠脉造影(CAG)检查的老年患者,按其临床表现和CAG的结果分为冠心病(CHD)组包括不稳定性心绞痛(UAP)组、稳定性心绞痛(SAP)组]和对照组,采用袖带加压法连续测量患者入院后三天的晨起收缩压、舒张压,并计算脉压。依据Gensini评分以及冠状动脉病变的血管支数对冠脉病变严重程度进行评估,探讨其与血压不同成分之间关系。结果 CHD组收缩压和脉压水平明显高于对照组(P<0.05);单支病变组、双支病变组、三支病变组脉压均明显高于对照组(P<0.05),且随病变支数的增多,脉压水平逐渐增高,差异具有统计学意义(P<0.05);UAP组收缩压、脉压均高于对照组和SAP组(P均<0.05)。脉压水平与Gensini评分正相关(r=0.199,P<0.01)。结论脉压较收缩压、舒张压更能反映大动脉弹性,不仅与CHD及冠脉病变的严重程度关系密切,还可能与冠状动脉粥样斑块的不稳定性有关。
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| 关 键 词： | 脉压 老年 冠心病 |
The value of pulse pressure for the severity of coronary heart disease in elderly |
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| ZHANG Qian
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QIN Qin
,
ZHAO Bing-Rang
,
LU Ya-ru
,
LI Yang.The value of pulse pressure for the severity of coronary heart disease in elderly[J].Molecular Cardiology of China,2011,11(4):199-201. |
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| Authors: | ZHANG Qian QIN Qin ZHAO Bing-Rang LU Ya-ru LI Yang |
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| Institution: | ZHANG Qian1,QIN Qin2,ZHAO Bing-Rang2,LU Ya-ru2,LI Yang2,1Graduate School of Tianjin Medical University,Tianjin,300070,China,2The Chest Hospital of Tianjin,300021,China. |
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| Abstract: | Objective To explore the relationship of the pulse pressure and the severity of coronary artery disease in elderly.Methods Choosed 268 patients as the objects of study who received coronany angiography(CAG). According to the clinical feature and the result of CAG,all the cases were divide into coronary heart disease(CHD) include unstable angina pectoris(UAP) and stable angina pectoris(SAP) groups]and non-CHD groups. Measured systolic blood pressure and diastolic blood pressure using sleeve-band pressurizin... |
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| Keywords: | Pulse pressure Elderly Coronary heart disease |
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