非酒精性脂肪肝对老年高血压患者心脏结构和功能的影响OA

Objective To investigate the effects of nonalcoholic fatty liver disease(NAFLD)on cardiac structure and function in elderly hypertensive patients.Methods The data of 787 patients with hypertension aged≥60 years from January 2021 to December 2023 in the Department of Gastroenterology,Department of Geriatrics and Department of General Medicine in the hospital were collected,and divided the patients into NAFLD group(133 cases)and the non-NAFLD group(654 cases)according to the results of abdominal ultra-sound.The differences in general clinical data and echocardiography between the two groups were compared.Results Compared with the non-NAFLD group,the left ventricular posterior wall thickness and interventric-ular septal thickness were thicker and left ventricular mass was increased in the NAFLD group,respectively(11.19±1.21)mm vs.(11.48±1.67)mm,(11.25±1.25)mm vs.(11.52±1.22)mm,and(193.20±45.87)g vs.(203.05±48.22)g,and the difference was statistically significant(P<0.05);There was no sig-nificant difference in E/A<1 between the NAFLD group and the non-NAFLD group(P>0.05),but the pro-portion of diastolic dysfunction in the non-NAFLD group and the NAFLD group was as high as 74.6%and 70.7%.Conclusion In elderly hypertensive patients,the interventricular septum thickness,left ventricular posterior wall thickness and left ventricular mass in patients with NAFLD were significantly higher than those without NAFLD.