哈尔滨医药2016，Vol.36Issue(3)：206-207,2.
脉压差在原发性高血压患者并发冠心病诊断中的意义分析
Clinical Significance of Pulse Pressure In Coronary Heart Disease Diagnosis
陈新胜 1柯植泉2
作者信息
- 1. 汕头大学医学院第一附属医院心内科，广东 汕头515041
- 2. 汕头潮南民生医院心内科，广东 汕头515144
- 折叠
摘要
Abstract
Objective To investigate the clinical significance of pulse pressure in diagnosing coronary heart disease(CHD). Methods Totally 677 patients with suspected coronary artery disease who underwent coronary angiography( CAG) from January 2013 to Jun 2015 were divided into research group( hypertension complicated with CHD,350 cases) and control group( isolated hypertension, 327 cases) according to CAG results. The systolicand diastolic blood pressure,pulse pressure and general data were compared between the two groups. The patients in research group were divided into different subgroups according to the pulsepressure;the number and length of diseased coronary artery,ejection fraction(LVEF)were compared among different subgroups. Results The diastolic blood pressure and proportion of smoker had no statistical differences betweencontrol group and observation group(P>0. 05);age,male ratio, systolic blood pressure and pulse pressure inobservation group were significantly higher than those in control group(P<0. 05). The numbers of diseased coronary artery. 1esion length and proportion of LVEF<50%were increasedin pulse pressure≥60 mmHg subgroup compared with those in pulse pressure<60 mmHg subgroup(P<0. 05). Conclusion The pulse pressure and incidence of dysfunction cardiac dysfunctionareincreased with degree of coronary lesions,which can be valuable for the early diagnosis of coronary artery dis-ease.关键词
冠状动脉粥样硬化性心脏病/脉压差/高血压/冠状动脉造影Key words
Coronary atherosclerotic heart disease/Pulse pressure/Hypertension/Coronary angiography分类
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陈新胜,柯植泉..脉压差在原发性高血压患者并发冠心病诊断中的意义分析[J].哈尔滨医药,2016,36(3):206-207,2.
