Podhaisky H, Amthor A, Hänsgen K, Preuss E G, Sternitzky R
Z Gesamte Inn Med. 1979 Apr 15;34(8):213-6.
23 patients were examined who in the ultrasound-Doppler-pressure measurement were evident by too large peripheral systolic measuring values. On the X-ray pictures of the soft tissues of these patients more or less expressed linear and longitudinal calcifications of the vascular wall in the sense of a Mönckeberg sclerosis of the media were to be proved. Though these changes of the arteries which are to be established in most cases in diabetics of older age do not cause, as a rule, any disturbances of the peripheral blood supply, they are of clinical interest, since they falsify the results of indirect measurements of the pressure (pseudohypertension). An arterial obstructive disease which is simultaneously present may possibly been overseen and the false diagnosis of a therapy-resistant arterial hypertension may be made.
对23名患者进行了检查,这些患者在超声多普勒压力测量中显示外周收缩压测量值过大。在这些患者的软组织X线片上,或多或少可证实存在血管壁呈线性和纵向钙化,这符合中膜的门克贝格硬化。虽然这些动脉变化在大多数老年糖尿病患者中通常不会引起外周血供的任何紊乱,但它们具有临床意义,因为它们会使间接压力测量结果失真(假性高血压)。同时存在的动脉阻塞性疾病可能会被漏诊,从而可能做出对治疗有抵抗性的动脉高血压的错误诊断。