Raue I, Sauer I, Kinner B, Kuklinski B, Pönitzsch I
Z Gesamte Inn Med. 1978 Mar 15;33(6):176-80.
We examined 142 hypertensive patients of special consulting hours for hypertension. In a subdivision into 3 degrees of severity of hypertension and into the age groups less than or equal to 50 years and greater than 50 years X-ray findings on the heart and on the large vessels near the heart were made. Patients with blood pressure values RRs greater than or equal to 160 Torr and RRd greater than or equal to 95 Torr had these findings in 78%. 56% of the test persons with a heart affected in the left ventricle (R1) were found and 23% of the test persons with left-prevailing heart affected on the two sides (R3). The positive correlation between age of the patients with hypertension, duration of hypertension and frequency of the heart deformation in the sense of the left-ventricularly affected heart and the left-prevailing heart affected on the two sides could statistically be ascertained. 62% of the patients less than or equal to 50 years and 89% of the patients greater than 50 years had these findings. In a duration of hypertension less than or equal to 5 years 64% had these findings, in a duration of hypertension greater than 5 years 64%. The total number of findings increases with the degree of severity of hypertension. In test persons with degree II of severity of hypertension (RRs 160-200 Torr, RRd greater than or equal to 95 Torr) 73% had these findings, in test persons with degree III (RRs greater than Torr, RRd greater than or equal to Torr) 86%. The relation of the heart deformation in the sense of the left-prevailing heart affected on the two sides between degree II and III of the severity of hypertension was contradictory. In hypertension II and duration of hypertension greater than 5 years the percentage of the test persons with left-prevailing heart affected on the two sides was 42%, in hypertension III and duration of hypertension greater than 5 years 19%.
我们检查了142名在高血压专科门诊就诊的高血压患者。将患者按高血压严重程度分为3级，并按年龄分为50岁及以下和50岁以上两组，对其心脏及心脏附近大血管进行了X线检查。收缩压（RRs）大于或等于160托且舒张压（RRd）大于或等于95托的患者中，78%有这些检查结果。发现56%的受检者左心室受累（R1），23%的受检者双侧以左心为主受累（R3）。高血压患者的年龄、高血压病程与左心室受累及双侧以左心为主受累意义上的心脏变形频率之间的正相关关系在统计学上是可以确定的。50岁及以下的患者中有62%有这些检查结果，50岁以上的患者中有89%有这些检查结果。高血压病程小于或等于5年的患者中，64%有这些检查结果，高血压病程大于5年的患者中，64%有这些检查结果。检查结果总数随高血压严重程度增加而增多。高血压严重程度为II级（RRs 160 - 200托，RRd大于或等于95托）的受检者中，73%有这些检查结果，高血压严重程度为III级（RRs大于托，RRd大于或等于托）的受检者中，86%有这些检查结果。高血压严重程度II级和III级之间双侧以左心为主受累意义上的心脏变形关系相互矛盾。高血压II级且病程大于5年的受检者中，双侧以左心为主受累的比例为42%，高血压III级且病程大于5年的受检者中，该比例为19%。
