摘要
Abstract
Objective To investigate the difference of blood pressure variability (BPV) between the hypertension patients with acute myocardial infarction (AMI) or acute ischemic stroke. Methods A total of 204 hypertension patients were divided into three groups according to the complications: Group A ( complicated with AMI) , Group B ( complicated with acute ischemic stroke ) , and Group C ( no complication). Patients were admitted to ambulatory blood pressure moni -toring ( ABPM). All markers , including mean systolic blood pressure ( MSBP) , mean diastolic blood pressure ( MDBP) , MSBP difference between day and night , MDBP difference between day and night , day SBP -SD, night SBP -SD, 24 h SBP -SD, day DBP - SD, night DBP - SD, 24 h DBP - SD, day SBP - CV, night SBP - CV, 24 h SBP - CV, day DBP-CV, night DBP-CV, 24 h DBP-CV, morning (6:00~10:00) SBP-SD, morning (6:00~10:00) DBP-SD, morning (6:00 ~ 10:00) SBP - CV and morning (6 :00~10:00) DBP - CV; were recorded for comparison. Results There were significant differences in MSBP , indexes of systolic blood pressure variability ( day and night) , day diastolic pressure variability and morning blood pressure variability among the three groups , which were all significantly highest in Group B and lowest in Group C . There were no significant difference in indexes of diastolic pressure and night indexes of blood pressure variability among the three groups . Conclusion BPV and the morning blood pressure surge are prominent in patients with hypertension complicated with AMI and stroke . The blood pressures homeostasis is more important in these patients.关键词
急性心肌梗死/急性缺血性脑卒中/血压变异性Key words
acute myocardial infarction / acute ischemic stroke / blood pressure variability
