摘要
目的 探讨静息心率在高血压动脉硬化中的变化及其临床意义。方法 2 93例高血压患者 ,平均年龄 5 9.2岁 ,男 15 6例 ,女性 137例 ,测定其静息心率、血糖、血脂及进行冠脉造影 ,并进行分组研究。结果 高血压组静息心率77.98± 10 12bpm显著高于正常对照组 72 12± 11 2 5bpm(P <0 0 5 ) ,高血压合并左室肥厚者高于无左室肥厚组 (P<0 0 5 )。高血压合并高血糖者高于血糖正常者 (P <0 0 5 ) ,高血压合并冠脉病变者 ,尤其是合并左前降支狭窄者RHR显著增高 (P <0 0 5 )。结论 静息心率与高血压病及动脉硬化的发展 ,高血压靶器官损害及高血压合并代谢异常有关。
Objective To investigate the significane of resting heart rate in patients with hypertension. Methods In 293 hypertensive patients, average age 59.2 years, male 156, female 137, the resting heart rate, blood glucose, blood lipid were examined. Coronary arteriography were performed in one hundred fifty-seven patients. Results The resting heart rate (77.98±10.12) is significantly increased in hypertensives compared with normotensives. Resting HR increased more in hypertensives with LVH than hypertensives without LVH. The resting heart rate was increased in subjects with high blood glucose than those without blood glucose abnormality. Correlation analysis showed that resting heart rate correlated positively to the degree of LAD coronary artery stenosis. Conclusion Resting heart rate may be associated with the progression of hypertension and atherosclerosis.
出处
《高血压杂志》
CSCD
2003年第3期211-214,共4页
Chinese Journal of Hypertension
关键词
高血压
静息心率
冠脉造影
冠脉狭窄
resting heart rate
hypertension
coronary arteriography
coronary artery stenosis