中国临床保健杂志Issue(6)：582-585,4.DOI:10.3969/J.issn.1672-6790.2014.06.008
老年高血压患者血压昼夜节律紊乱与心律失常的关系
The correlation between blood pressure arrhythmia and turbulence of circadian rhythm in elderly hypertensive patients
缪京莉 1侯晓平 1周云飞 1尹巧香 1张婧1
作者信息
摘要
Abstract
Objective To investigate the correlation between blood pressure(BP)arrhythmia and turbulence of circadian rhythm in elderly hypertensive patients.Methods Three hundreds and six elderly patients with isolated systolic hypertension were selected and divided into three subgroups according to their 24h ambulatory blood pressure, 1 00 patients with dippers,1 26 patients with non-dippers,80 patients with reverse-dippers.Fifty-two healthy people were chosen as a control group.All people were monitored with 24h electrocardiograms.Results Patients with gener-al arrhythmia in non-dippers were more than those in dippers(P <0.01 ),those in reverse-dippers were more than those in dippers(P <0.05),those in three subgroups with hypertension were more than those in control group(P <0.01 ).Patients with coexist arrhythmia in non-dippers and reverse-dippers were more than those in dippers(P <0.01 ),those in three subgroups with hypertension were more than those in control group (P <0.01 ).Patients with at-rial tachycardia in reverse-dippers were more than those in dippers(P <0.01 ),those in reverse-dippers were more than those in non-dippers(P <0.05).Patients with fibrillation or atrial flutter in reverse-dippers were more than those in dippers(P <0.05 ).Patients with frequent premature ventricular beats in reverse-dippers and non-dippers were more than those in dippers(P <0.05).SDANN、rMSSD、PNN50 in reverse-dippers were significantly lower than those in control group (P <0.05,P <0.01 ),and dippers(P <0.05,P <0.01 );rMSSD in reverse-dippers was lower than that in nondippers(P <0.05);PNN50 in non-dippers was lower than that in control group(P <0.05)and dippers(P<0.05).Conclusion The turbulence of BP circadian rhythm could cause cardiac arrhythmia.Cardiac arrhymia eas-ily happen in hypertensive patients with reverse-dippers and non-dippers,and more easily happen in those with atrial arrhythmia followed with decline of heart rate variability.关键词
高血压/昼夜节律/心律失常,心性/老年人Key words
Hypertension/Circadian rhythm/Arrhythmias,Cardiac/Aged分类
医药卫生引用本文复制引用
缪京莉,侯晓平,周云飞,尹巧香,张婧..老年高血压患者血压昼夜节律紊乱与心律失常的关系[J].中国临床保健杂志,2014,(6):582-585,4.
