Sauer I, Raue I, Pönitzsch I, Kinner B, Kuklinski B
Z Gesamte Inn Med. 1978 Aug 1;33(15):520-4.
In 142 hypertensives and a control group of 230 normotensives the measure of the aorta after Kreuzfuchs was estimated. In the two groups a significant increase of the width of the aorta was found with growing age. Whilst the width of the aorta concerning the degree of severity I of hypertension on an average were slightly below those of normotensives, they were increased in the degrees of severity II and III, but a further increase could not be ascertained at the transition from degree of severity II to III. On the other hand, the duration of hypertension is of particular importance when a dilation of the aorta is present. Also between deformation of the heart and measure of the aorta close relations which may conclude to a homogenous development are to be seen particularly in the younger patients. The influence of the sclerosis of the aorta in the sense of an additional dilation of the aorta could not be clearly confirmed on the basis of our material. On the other hand, the frequency of calcium depositions significantly increased with growing age in the region of the aortic arce and in the group of younger patients with the duration of hypertension, whereas the different degrees of severity II and III had a smaller influence. It is interesting that several patients showed normal widths of the aorta despite a duration of the hypertension of more than 5 years and a degree of severity III.
在142名高血压患者和230名血压正常的对照组中，对克罗伊茨富克斯术后的主动脉进行了测量。在两组中，均发现主动脉宽度随年龄增长而显著增加。虽然与高血压严重程度I级相关的主动脉宽度平均略低于血压正常者，但在严重程度II级和III级时主动脉宽度增加，不过从严重程度II级过渡到III级时未发现进一步增加。另一方面，当存在主动脉扩张时，高血压的持续时间尤为重要。此外，心脏变形与主动脉测量之间的密切关系，特别是在年轻患者中，可能表明存在共同的发育过程。根据我们的资料，无法明确证实主动脉硬化对主动脉额外扩张的影响。另一方面，随着年龄增长，主动脉弓区域以及患有高血压的年轻患者组中钙沉积的频率显著增加，而严重程度II级和III级的影响较小。有趣的是，几名患者尽管高血压持续时间超过5年且为严重程度III级，但主动脉宽度仍正常。
