川北医学院学报2018，Vol.33Issue(2)：158-161,4.DOI:10.3969/j.issn.1005-3697.2018.02.004
老年高血压患者发生射血分数保留心衰的危险因素分析
Analysis on the risk factor of ejection fraction preserve heart failure in elderly hypertensive patients
摘要
Abstract
Objective:To investigate the risk factor of ejection fraction preserve heart failure in elderly hypertensive patients,in order to provide reference for the treatment and prevention of this kind of patients in clinical practice.Methods:The clinical data of 96 patients with HFpEF combined with hypertension were analyzed and included in the observation group.The 101 patients in the control group were hypertensive patients with normal ejection fraction and non-heart failure.The univariate analysis was performed on the factors that may influence the occurrence and development of the disease in HFpEP patients.Multivariate logistic regression analysis was used to analyze the indicators with differences,and independent risk factors affecting the disease were obtained.Results:There were signifi-cant differences in gender,age,body mass index(BMI) and smoking comparison between the two groups(P<0.05).There ware sig-nificant differences in the incidence of atrial fibrillation,diabetes,coronary heart disease,renal insufficiency,anemia,and respiratory ap-nea history between the two groups (P<0.05).The levels of LEVF,LVDd,LVST,E/A,LAV and serum NT-proBNP in patients with HFpEF and hypertension were significantly different (P<0.05).In patients with HFpEF,the levels of LVDd,LVST,LAV and serum NT-proBNP increased with the increase of cardiac function,and the levels of LEVF and E/A decreased.Older age,overweight,smoking, diabetes,and coronary heart disease were risk factors for the onset of HFpEF in patients with hypertension.Conclusion:Older age,over-weight,smoking,diabetes mellitus,and coronary heart disease are risk factors for the onset of HFpEF in patients with hypertension.The more serious the cardiac function class is,the more obvious the changes of myocardial remodeling and atrial function are.关键词
射血分数保留心衰/高血压/危险因素/老年Key words
Ejection fraction preserve heart failure/Hypertension/Risk factors/Elderly分类
医药卫生引用本文复制引用
宋婷婷,贾红丹,国强华,崔蕊,刘丽..老年高血压患者发生射血分数保留心衰的危险因素分析[J].川北医学院学报,2018,33(2):158-161,4.基金项目
河北省秦皇岛市科技局科学技术研究与发展计划编号(201602A124) （201602A124）
