Sinha S, Misra A, Bal C S, Gouda N K, Pandey R M, Tiwari S
Department of Medicine, All India Institute of Medical Sciences, New Delhi, India.
J Hum Hypertens. 2006 Feb;20(2):143-8. doi: 10.1038/sj.jhh.1001946.
The objective of the study was to investigate abnormalities of regional cerebral blood flow (rCBF) in young (age 33.0+/-6.3 years; range 21-45 years) non-diabetic and normolipidemic Asian Indians with hypertension. The rCBF was assessed with single-photon emission computed tomography (SPECT) in patients with hypertension (n = 33) and healthy controls (n = 20). The SPECT findings were normal in 41 subjects and showed abnormalities of cerebral perfusion in 10 subjects, all of which were hypertensive patients. These observations are extremely important for a vast number of young hypertensive patients in India. To prevent cerebrovascular accidents in future, patients with hypertension and decreased rCBF should be carefully monitored and their hypertension should be strictly controlled. These subjects may also be researched as potential candidates for preventive antiplatelet therapy.
该研究的目的是调查年轻(年龄33.0±6.3岁;范围21 - 45岁)、非糖尿病且血脂正常的亚洲印度裔高血压患者的局部脑血流量(rCBF)异常情况。采用单光子发射计算机断层扫描(SPECT)对33例高血压患者和20例健康对照者的rCBF进行评估。41名受试者的SPECT检查结果正常,10名受试者显示脑灌注异常,这些均为高血压患者。这些观察结果对印度大量年轻高血压患者极为重要。为预防未来的脑血管意外,应密切监测rCBF降低的高血压患者,并严格控制其高血压。这些受试者也可作为预防性抗血小板治疗的潜在候选对象进行研究。