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["轻度”高血压和颈动脉血流动力学无显著意义的动脉粥样硬化病变患者的压力反射控制与动脉血压的昼夜变异性]

[Baroreflex control and circadian variability of arterial blood pressure in patients with "mild" hypertension and hemodynamically insignificant atherosclerotic lesions of the carotid arteries].

作者信息

Shakirova G O, Oshchepkova E V, Rogoza A N, Skvortsov A V, Arabidze G G, Atkov O Iu

出版信息

Kardiologiia. 1992;32(11-12):15-9.

PMID:1297871
Abstract

Sinocarotid baroreflex control by means of the neck chamber technique (-40 mm Hg, 4 min) and blood pressure monitoring with a SpaceLabs 90207 system were performed in 45 patients with mild essential hypertension who were divided into 2 groups: (1) those with hemodynamically insignificant carotid atherosclerotic lesions (n = 19) and (2) those without them (n = 26). Group 1 patients showed a decreased cardiochronotropic component of baroreflex control, higher blood pressure variability and less pronounced nocturnal blood pressure fall. The above facts are likely to contribute to progression of essential hypertension and aggravation of target organ lesions.

摘要

采用颈室技术(-40mmHg,4分钟)对45例轻度原发性高血压患者进行颈-颈动脉压力反射控制,并使用太空实验室90207系统进行血压监测。这些患者被分为两组:(1)血流动力学上无显著意义的颈动脉粥样硬化病变患者(n = 19)和(2)无此类病变的患者(n = 26)。第1组患者的压力反射控制的心脏变时成分降低、血压变异性较高且夜间血压下降不明显。上述情况可能会导致原发性高血压的进展和靶器官病变的加重。

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