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|本期目录/Table of Contents|

原发性高血压并发心功能不全的相关因素(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2008年第4期
页码:
439-441
栏目:
临床研究
出版日期:
2008-08-20

文章信息/Info

Title:
Analysis of related factors in patients with essential hypertension complicated by cardiac dysfunction
作者:
薛玉生1; 刘军1; 张可超2
第四军医大学: 1.唐都医院心血管内科，2.武警研修班，陕西 西安 710038
Author(s):
XUE Yusheng;  LIU Jun;  ZHANG Kechao
Department of Cardiology, Tangdu Hospital, Fourth Military Medical University, Xi’an 710038, Shaanxi, China
关键词:
高血压; 原发性; 并发症; 心功能不全; 相关因素
Keywords:
essential hypertension;  complication;  cardiac dysfunction;  analysis of related factors
分类号:
R544.1；R540.41
DOI:
-
文献标识码:
A
摘要:
目的 分析原发性高血压并发心功能不全患者的相关因素。方法 回顾总结在我院住院的96例原发性高血压患者，将其按临床症状分为心功能不全组（46例），心功能正常组（50例）；比较两组的临床特点及其相关因素。结果 两组的性别、年龄、体质量指数(BMI)及高密度脂蛋白比较无统计学意义；但心功能不全组并发冠心病、糖尿病、心律失常和吸烟比例，以及血压、血胆固醇、三酰甘油、低密度脂蛋白水平均高于心功能正常组；高血压的控制率、左室射血分数值低于心功能正常组；两组患者高血压平均病程心功能不全组较心功能正常组长。结论 心力衰竭是高血压病导致心脏损害的常见并发症，这种损害与高血压病的病程、控制程度（知晓率+合理使用ACEI类、β受体阻滞剂、钙拮抗剂及利尿剂等药物治疗高血压）、吸烟、冠心病病史、血脂的调治等有关。
Abstract:
AIM To analyze the clinical features and related factors of patients with essential hypertension complicated by cardiac dysfunction. METHODS We retrospectively reviewed and summarized 96 inpatients with essential hypertension in our hospital. According to their clinical symptoms, the 96 patients were assigned into two groups: group of cardiac dysfunction (46 patients) and control group (50 patients), and clinical features and related factors were compared between the two groups. RESULTS No statistical significance between the two groups was observed in gender, age, BMI, and HDL. Compared with control group, the patients in group of cardiac dysfunction showed higher levels of coronary artery disease and diabetes mellitus, hypertension rate, incidence of arrhythmia, blood pressure, smoke rate and serum CHO, TG, LDLC, while they had lower levels of hypertension control rate and LVEF.The average course of hypertension in group of cardiac dysfunction was longer than that in control group. CONCLUSION Heart failure is one of the common complications in patients with essential hypertension, for it may lead to heart injury. Heart failure of this kind is related to the course of hypertension, its control rate (awareness rate+reasonably using ACEIs, βreceptor blockers, calcium antagonists and diuretics to treat hypertension), smoking, history of coronary artery disease, and treatment of higher blood CHO.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期：2007-08-30.作者简介：薛玉生，副主任医师Email:xys978088@163.com
更新日期/Last Update: