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高血压病眼底血管造影定量指标与心律失常发生率相关(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2005年第1期
页码:
58-60
栏目:
临床研究
出版日期:
2005-01-05

文章信息/Info

Title:
Relationship between quantitative analysis of fundus angiography and arrhythmia in hypertension  patients
作者:
慈书平 戴煌 胡仁学
解放军第359医院内科,江苏 镇江 212001
Author(s):
CI Shuping DAI Huang HU Renxue
359 Hospital of P L A, Zhenjiang , Jiangsu 212001, China
关键词:
高血压 眼底 荧光血管造影 心律失常 心电描记术
Keywords:
hypertention fundus fluorescent angiography arrhythmia electrocardiography
分类号:
R541.3
DOI:
-
文献标识码:
A
摘要:
目的 研究高血压患者眼底视网膜血管荧光造影定量分析与心律失常的关系。 方法 在高血压患者中进行眼底视网膜血管荧光造影定量分析,将视网膜动脉显影时间(ADT)、静脉充盈时间(VFT)、毛细血管交换时间(CET)和毛细血管密度(MD)均异常者为研究组,正常者为对照组,两组性别、年龄、高血压分期和程度相匹配,每组40例。并进行心电图和动态心电图检查。 结果 研究组异位心搏数、早搏及STT缺血性改变较对照组显著增多(P<0.05,P<0.01),并且与ADT、VFT、CET呈正相关(P<0.05,P<0.01,r=0.367~0.516),与MD呈显著负相关(P<0.01,r=-0.673)。 结论 视网膜血管造影定量分析指标与心律失常的发生率相关。
Abstract:
AIM To study the relationship between the quantitative analysis of fundus retina angiography and arrhythmia in hypertension patients . METHODS The hypertension patients were examined by the quantitative analysis of fundus retina angiography . The sex, age, hypertension intervals and degree were compared between two groups . Each group were 40 cases. The patients with abnormal artery developing time (ADT), vein fulling time (VFT), capillary exchanging time (CET), capillary density (MD) was the study group. The normal subjects served as the control group. The patients were examined by ECG , DCG. RESULTS The results between the study and the control groups were statistically significant ( P<0.05 and P<0.01 ) in ectopic heart beats , premature beats, and STT ischemia changes. These were positively correlated with ADT, VFT, CET ( P<0.05 and P<0.01, r=0.367~0.516 ), but negatively correlated with MD ( P<0.01, r=-0.673) . CONCLUSION It is suggested that the quantitative analysis of fundus retina angiography manifests the target organ damage and heart damage,which may result in arrhythmia.

参考文献/References

[1] 阎启昌,郭玉麟. 眼底微循环的最新检查法[J]. 日本医学介绍,1992,13:259-260.

[2] Vicant E. Hypertension and microcirculation: a brief overview of experimental studies[J]. J Hypertens, 1992,10(suppl 5):s59-s63.

[3] 慈书平,江时森,王理理,等. 高血压病患者视网膜微血管血流滞缓现象[J]. 中华心血管病杂志,1995,23(4):275.

[4] 江时森,顾小萍,慈书平,等. 高血压大鼠和高血压病患者视网膜微血管的定量研究[J]. 中华心血管病杂志,1996,24(5):373-376.

[5] 慈书平,江时森,李俭春,等. 高血压病患者眼底血管造影定量分析与血液流变学的关系[J]. 中国微循环杂志,1998,2(1):43-45.

[6] 慈书平,李辉,翁新新,等. 血管紧张素与心律失常[J]. 心脏杂志,2002,14(5):413-414.

备注/Memo

备注/Memo:
收稿日期:2004-01-25.基金项目:南京军区青年科研课题(编号 199425)
更新日期/Last Update: 2010-01-05