《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (6): 583-584.

• 论文 • 上一篇    下一篇

血压晨峰与冠心病心肌缺血事件相关性研究

李铁岭，孟凡华，范利   

  1. 解放总医院干部诊疗科，北京市 100853。
  • 收稿日期:2010-04-28 修回日期:1900-01-01 出版日期:2010-06-25 发布日期:2010-06-25

Relationship between Morning Blood Pressure Surge and Myocardial Ischemia

LI Tie-ling, MENG Fan-hua, FAN Li.   

  1. The General Hospital of PLA, Beijing 100853, China
  • Received:2010-04-28 Revised:1900-01-01 Published:2010-06-25 Online:2010-06-25

PDF (PC)

被引次数

21

摘要： 目的观察冠心病患者中血压晨峰(MBPS)与缺血事件的关系。方法入选2009年2月～2010年1月连续在本院门诊就诊且明确诊断为冠心病合并高血压的老年患者315例，在相邻的1周内行动态血压和24 h动态心电图检查。按照动态血压晨峰与否，分为晨峰组和对照组，比较血压晨峰和心肌缺血时间。结果晨峰组患者年龄更高，心肌缺血事件发生率明显高于对照组，经过年龄、性别、吸烟等变量进行校正后，血压晨峰对于总心肌缺血和症状性心绞痛仍具有统计学意义。结论血压晨峰与冠心病心肌缺血事件密切相关，是心血管事件的重要危险因素。

关键词: 高血压, 血压晨峰, 心肌缺血

Abstract: ObjectiveTo investigate the relation between morning blood pressure surge(MBPS) and myocardial ischemia.Methods315 patients with primary hypertension and coronary heart disease were received Holter and non-invasive ambulatory blood pressure monitoring(ABPM). According to the morning blood pressure raised, they were divided into MBPS group and no-MBPS group. Then the ABPM and Holter data were compared.ResultsThe patients in MBPS group were older. The myocardial ischemia events were more common in MBPS group than in no-MBPS group. The logistic regress showed that the MBPS was related to myocardial ischemia events even after corrected by age, smoke, and sex.ConclusionMBPS is a risk factor of myocardial ischemia.

Key words: hypertension, morning blood pressure surge, myocardial ischemia