Drescher E, Austenat J, Günther K H, Purfürst W D, Hujer W
G Ital Cardiol. 1980;10(7):843-50.
The investigation was carried out to determine dimensions and mass of the left ventricle (LV) in relation to the stages of essential arterial hypertension (HT). 93 male non-congestive hypertensives (WHO stages I to III) were examined by means of echocardiography (UCG) (2.25 MHz single element transducer), using the T - M - technique (Organon - Technika, The Netherlands). The results were compared with those of 75 controls and 21 endurance sportsmen. Differences in the wall thickness of the LV in the hypertensives compared with that in normotensive subjects can be shown quite easily. For this purpose the UCG is more sensitive than an ECG. There is, however, a poor correlation between the WHO stages and the actual wall thickness. On the other hand, a close correlation was found to exist between wall thickness and average systolic, diastolic and mean blood pressure (r = 0.72, 0.68, 0.70). The LV dimensions do not differ substantially from those obtained for normotensives. The ventricular mass/volume ratio shows a characteristic shift towards the mass in HT. This quotient helps to differentiate between various forms of hypertrophy and/or dilatation as demonstrated for instance in sportsmen.
开展该调查以确定左心室（LV）的尺寸和质量与原发性动脉高血压（HT）各阶段的关系。通过超声心动图（UCG）（2.25MHz单元素换能器），采用T - M技术（荷兰欧加农公司）对93名男性非充血性高血压患者（世界卫生组织I至III期）进行了检查。将结果与75名对照者和21名耐力运动员的结果进行了比较。与血压正常的受试者相比，高血压患者左心室壁厚度的差异很容易显现出来。为此，超声心动图比心电图更敏感。然而，世界卫生组织的分期与实际壁厚度之间的相关性较差。另一方面，发现壁厚度与平均收缩压、舒张压和平均血压之间存在密切相关性（r = 0.72、0.68、0.70）。左心室尺寸与血压正常者所测得的尺寸没有实质性差异。心室质量/体积比在高血压患者中呈现出向质量方面的特征性偏移。该商数有助于区分各种形式的肥大和/或扩张，例如在运动员身上所表现的那样。
