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高血压前期左室舒张功能改变与动脉硬化的相关性

葛青 袁伟 周建英 王中群 严金川

江苏大学学报(医学版)Issue(4):326-330,5.
江苏大学学报(医学版)Issue(4):326-330,5.DOI:10.13312/j.issn.1671-7783.y150107

高血压前期左室舒张功能改变与动脉硬化的相关性

Correlation between arterial stiffness and left ventricular diastolic function in prehypertension

葛青 1袁伟 2周建英 1王中群 2严金川2

作者信息

  • 1. 江苏大学附属解放军第101 医院干部病房,江苏 无锡214044
  • 2. 江苏大学附属医院心内科,江苏 镇江212001
  • 折叠

摘要

Abstract

Objective:To study the correlation between left ventricular diastolic function and aortic stiff-ness in prehypertension.Methods:A total of 40 cases of untreated prehypertension as observation group and 40 pure normaltensive cases as control group.Left ventricular diastolic function was assessed by echo-cardiography,aortic distensibility parameters were derived from aortic diameters measured by ultrasonogra-phy,and vascular inflammation was assessed by high-sensitivity C-reactive protein.Results:Prehyperten-sive subjects displayed a significantly lower E/A ratio and a significantly greater deceleration time and isovo-lumetric relaxation time compared with normoltensive controls.They also displayed aortic systolic diameter, diastolic diameter and mean aortic stiffness significantly increased while systo-diastolic diameter change, mean aortic distensibility and aortic strain were significantly reduced compared with controls.Values of in-fammatory markers were increased.At multiple regression analysis,E/A ratio was significantly related to high-sensitivity C-reactive protein(β=0.002,P=0.019)and aortic stiffness(β=-0.128,P=0.028)af-ter correction for age,left ventricular mass index and mean blood pressure.Conclusion:In prehyperten-sion,the failing of left ventricular diastolic function and aortic stiffness have been started,showed significant correlation.

关键词

高血压前期/动脉硬化/左室舒张功能/高敏C反应蛋白

Key words

prehypertension/arterial stiffness/diastolic function/high-sensitivity C-reactive protein

分类

医药卫生

引用本文复制引用

葛青,袁伟,周建英,王中群,严金川..高血压前期左室舒张功能改变与动脉硬化的相关性[J].江苏大学学报(医学版),2015,(4):326-330,5.

基金项目

国家自然科学基金资助项目(81200222);江苏省卫生厅重点项目(H201435);镇江市心血管病学重点实验室基金资助项目 ()

江苏大学学报(医学版)

OACSTPCD

1671-7783

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