Wehling M, Frey A, Lössl M, Middeke M, Theisen K
Medizinische Klinik Innenstadt, University of Munich, Federal Republic of Germany.
J Hypertens Suppl. 1989 Dec;7(6):S110-1. doi: 10.1097/00004872-198900076-00051.
In 10 treated hypertensives without coronary heart disease we carried out 24-h monitoring of the ST-segment and blood pressure. Twenty-four periods with ST-segment depressions of greater than 0.1 mV were recorded in nine of 10 patients. In nine of 24 periods with ST-segment depressions blood pressure was elevated. The heart rate was increased in 20 of 24 ST-segment depressions. During nine periods with ST-segment depressions angina pectoris was reported, and 27 anginal attacks without ST-segment depressions were observed. These results indicate that only 38% of ST-segment depressions in hypertensive heart disease are paralleled by increases in blood pressure, but 83% are paralleled by increases in the heart rate (P less than 0.001), which shows a better correlation with ST-segment depressions than blood pressure.
我们对10例无冠心病的高血压患者进行了24小时ST段和血压监测。10例患者中有9例记录到24个ST段压低超过0.1 mV的时段。在24个ST段压低的时段中，有9个时段血压升高。24个ST段压低时段中有20个时段心率加快。在9个ST段压低的时段中患者报告有胸痛，并且观察到27次无ST段压低的心绞痛发作。这些结果表明，高血压性心脏病中只有38%的ST段压低与血压升高相关，但83%与心率加快相关（P<0.001），这表明心率与ST段压低的相关性比血压更好。
