Naumann D, Gerner U
Medizinischen Dienst Bezirksbehörde der Deutschen Volkspolizei Karl-Marx-Stadt.
Z Gesamte Inn Med. 1990 Jul 15;45(14):418-21.
31 male patients (average age 44.0 +/- 8.5 years) suffering from borderline hypertension for many years were examined in comparison with 55 male patients (average age 44.2 +/- 10.1 years) having normotension. We used a conventional electrocardiogram and a two-dimensionally controlled M-mode echocardiogram to diagnose left ventricular hypertrophy of the heart (LVH). Electrocardiographic examinations did not clearly reveal LVH. Septal and posterior wall thicknesses measured by echocardiography as well as the calculated left ventricular muscular mass showed significantly higher mean values in patients suffering from borderline hypertension. An end-diastolic septum thickness equal to or larger than 11 mm and/or a left ventricular muscular mass larger than 155 g showed an LVH prevalence of 26 to 32 per cent in patients with borderline hypertension compared with 13 to 15 per cent in patients having normal blood pressure values. After the relativation of the values measured by the echocardiogram with respect to the body surface, there was no more evidence of significant values. Positive correlations were particularly found between the body weight and the echocardiogram parameters and not so much between the body weight and the blood pressure or the blood pressure and the measured echocardiogram values. No correlation was found concerning the duration of the borderline hypertension of our subjects.
对31名患有临界高血压多年的男性患者（平均年龄44.0±8.5岁）进行了检查，并与55名血压正常的男性患者（平均年龄44.2±10.1岁）进行了比较。我们使用传统心电图和二维控制M型超声心动图来诊断心脏左心室肥厚（LVH）。心电图检查未明确显示LVH。通过超声心动图测量的室间隔和后壁厚度以及计算得出的左心室肌肉质量在临界高血压患者中显示出明显更高的平均值。舒张末期室间隔厚度等于或大于11毫米和/或左心室肌肉质量大于155克时，临界高血压患者的LVH患病率为26%至32%，而血压正常的患者为13%至15%。在将超声心动图测量值与体表面积进行关联后，不再有显著值的证据。特别是在体重与超声心动图参数之间发现了正相关，而在体重与血压之间或血压与测量的超声心动图值之间的相关性则不太明显。我们的受试者临界高血压的持续时间未发现相关性。
