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老年代谢综合征患者动态脉压、心率变异性与靶器官损害的关系(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2007年第5期
页码:
590-592
栏目:
临床研究
出版日期:
2007-10-01

文章信息/Info

Title:
Correlation of ambulatory pulse pressure, heart rate variability and targets organs damage in patients with aged metabolic syndrome
作者:
任春霖 冯春
郧阳医学院附属东风总医院心内科, 湖北 十堰 442008
Author(s):
REN Chunlin FENG Chun
Department of Cardiology,Dongfeng Hospital,Yunyang Medical College,Shiyan 442008,Hubei,China
关键词:
老年代谢综合征脉压心率变异性 靶器官损害
Keywords:
aged metabolic syndrome pulse pressure heart rate variability targets organ damage
分类号:
R442.8;R289
DOI:
-
文献标识码:
A
摘要:
目的 探讨老年代谢综合征(MS)患者24 h 脉压、心率变异性与靶器官损害的关系。方法 对单纯MS患者86例,MS伴靶器官损害患者118例,对比分析24 h 动态血压监测及心率变异性各指标。结果 伴靶器官损害组与单纯MS组比较:24 h平均舒张压、日间舒张压、夜间舒张压降低,日间收缩压、夜间收缩压、24 h脉压、日间脉压、夜间脉压升高,心率变异性各指标(SDNN、SDANN、SD、rMSSD、PNN50 )降低,两组比较有显著性差异(P<0.01或P<0.05)。结论 动态脉压及心率变异性的变化可反映MS病变程度,
Abstract:
AIM To study the correlation of 24 h ambulatory pulse pressure (PP), heart rate variability (HRV) and target organs damage (TOD) in population with aged metabolic syndrome (MS). METHODS Twentyfour hours ambulatory pulse pressure (PP) and heart rate variability (HRV) were monitored and compared with ambulatory blood pressure monitoring (ABPM) and Holter in 86 cases suffering from isolated MS and 118 cases suffering from MS and TOD. RESULTS Compared with the patients with MS, the patients suffering from MS and TOD had lower 24 h mean diastolic pressure, day diastolic pressure and night diastolic pressure, higher day systolic pressure and night systolic pressure, 24 h PP, day PP and night PP and lower indexes of heart rate variability (SDNN, SDANN, SD, rMSSD, PNN50). The difference between the two groups was significant (P<0.01 or P<0.05). CONCLUSION Ambulatory pulse pressure and HRV can mirror the seriousness of MS and higher ambulatory pulse pressure and lower HRV are the characteristics of MS patients with target organs damage.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期:2006-06-19.作者简介:任春霖,主治医师Email:rel640318@126.com
更新日期/Last Update: