动态血压监测中短期血压变异性增加作为糖尿病高血压患者冠状动脉危险因素的识别。
Identification of an increased short-term blood pressure variability on ambulatory blood pressure monitoring as a coronary risk factor in diabetic hypertensives.
作者信息
Ozawa Motoko, Tamura Kouichi, Okano Yasuko, Matsushita Kouhei, Yanagi Mai, Tsurumi-Ikeya Yuko, Oshikawa Jin, Hashimoto Tatsuo, Masuda Shinichiro, Wakui Hiromichi, Shigenaga Atsu-Ichiro, Azuma Kouichi, Ishigami Tomoaki, Toya Yoshiyuki, Ishikawa Toshiyuki, Umemura Satoshi
机构信息
Department of Medical Science and Cardiorenal Medicine, Yokohama City University, Graduate School of Medicine, 3-9 Fukuura, Kanazawa-ku, Yokohama, Japan.
出版信息
Clin Exp Hypertens. 2009 May;31(3):259-70. doi: 10.1080/10641960902822518.
We examined risk factors for coronary heart disease (CHD) by ambulatory blood pressure (BP) monitoring in 72 diabetic hypertensives who were hospitalized for the educational program. The patients were divided into two groups (CHD group, 19 subjects; and non-CHD group, 53 subjects) along with or without co-existing CHD. On ambulatory BP monitoring, no significant differences were found between the groups regarding BP values through the day. However, the CHD group had a significantly greater BP variability than non-CHD group. The result of logistic regression analysis demonstrated that nighttime systolic BP variability was an independent risk factor for CHD.
我们通过动态血压监测，对72名因参加教育项目而住院的糖尿病高血压患者进行了冠心病（CHD）风险因素的研究。根据是否患有冠心病，将患者分为两组（冠心病组，19名受试者；非冠心病组，53名受试者）。动态血压监测结果显示，两组患者全天的血压值无显著差异。然而，冠心病组的血压变异性显著高于非冠心病组。逻辑回归分析结果表明，夜间收缩压变异性是冠心病的独立危险因素。
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