重庆医学2013,Vol.42Issue(4):391-392,395,3.DOI:10.3969/j.issn.1671-8348.2013.04.011
老年高血压患者动态脉压指数与冠状动脉病变的相关性研究
A correlation research between dynamic pressure indexes and coronary artery disease in elderly hypertensive patients
代容 1何泉2
作者信息
- 1. 重庆医科大学附属第一医院第一分院老年科,400015
- 2. 重庆医科大学附属第一医院心内科,400016
- 折叠
摘要
Abstract
Objective To explore the correlation between the dynamic pressure index in elderly hypertensive patients with coronary artery disease. Methods 332 gerontal patients with hypertension who received coronary angiography in our hospital from January 2009 to December 2011 were selected and conducted ambulatory blood pressure monitoring for 24h. The PP,SBP,DBP and heart rate were recorded. The conventional Judkins method was used to perform the selective left and right coronary angiography, and the severity of coronary artery lesions was analyzed with quantitative analysis system. Then the correlation among PPI,PP, SBP, DBP, MBP and coronary artery lesions was investigated. Results 220 cases were diagnosed with coronary heart disease, accounting for 66. 3%. Most patients were in 0. 40 - 0. 50 in PPI,fewer patients were in 0.50 - 0.60 and the patients in PPI more than 0. 6 were the least. There were more SBP,PP and coronary artery lesions when the PPI value and patient age were higher,and the result was statistically significant. The risky factors of coronary artery lesions include PPI,PP and SBP. Conclusion PPI can predict cardiovascular disease more accurately compared with PP,and the 24 h dynamic PPI has the largest prediction value.关键词
高血压/动态脉压指数/冠状动脉病变/相关性研究/老年患者Key words
hypertension/dynamic pressure index/ coronary artery lesions/ correlation study/ elderly patients引用本文复制引用
代容,何泉..老年高血压患者动态脉压指数与冠状动脉病变的相关性研究[J].重庆医学,2013,42(4):391-392,395,3.