Barriales Alvarez V, Rodríguez Blanco V M, Barriales Villa R, Möller Bustinza I, Batalla Celorio A, Castellanos Martínez E, Moris de la Tassa C, Mayordomo López J
Sección de Cardiología, Policlínico Grande Covián, Arriondas, Asturias.
An Med Interna. 1995 Jun;12(6):275-9.
We studied the frequency of heart disease and association with other coronary risk factors in 243 consecutive patients (124 male and 119 female) suffering from arterial hypertension (Group HT). The mean age was 67.5 +/- 9.6 years. This group was compared to a group of 357 subjects (217 male and 140 female) without arterial hypertension (Group noHT) and mean age of 63.5 +/- 13 years. In our group the patients with arterial hypertension presented smoking habits in 35%, hypercholesterolemia in 22%, left ventricular hypertrophy (LVH) in 18%, alcoholic habits in 15%, hypertriglyceridemia in 12%, diabetes in 9% and hyperuricemia in 7%. 15% of the patients suffering from arterial hypertension turned out with coronary heart disease (62% angina and 38% myocardial infarction), 19% with atrial fibrillation and 13% with heart failure. Compared to the patients without hypertension we found significant statistical correlation with the age (67.5 +/- 9.6 HT and 63.5 +/- 13 no HT, p < 0.001), the LVH (18% HT and 4% no HT, p < 0.001) and number of coronary risk factors (2 +/- 1 HT and 1.1 +/- 0.9, p < 0.001). The percentage of people without cardiac disease is lower among the group with arterial hypertension (53% HT and 71% noHT, p < 0.001), showing as well a higher incidence of atrial fibrillation (19% HT and 11% noHT, p < 0.05) and heart failure (13% HT and 7% noHT, p < 0.05).(ABSTRACT TRUNCATED AT 250 WORDS)
我们研究了243例连续性动脉高血压患者(124例男性和119例女性)(高血压组)的心脏病发病频率及其与其他冠状动脉危险因素的关联。平均年龄为67.5±9.6岁。将该组与357名无动脉高血压的受试者(217例男性和140例女性)(非高血压组)进行比较,其平均年龄为63.5±13岁。在我们的高血压组中,35%的患者有吸烟习惯,22%有高胆固醇血症,18%有左心室肥厚(LVH),15%有酗酒习惯,12%有高甘油三酯血症,9%有糖尿病,7%有高尿酸血症。15%的动脉高血压患者患有冠心病(62%为心绞痛,38%为心肌梗死),19%患有心房颤动,13%患有心力衰竭。与无高血压患者相比,我们发现年龄(高血压组67.5±9.6岁,非高血压组63.5±13岁,p<0.001)、LVH(高血压组18%,非高血压组4%,p<0.001)和冠状动脉危险因素数量(高血压组2±1,非高血压组1.1±0.9,p<0.001)存在显著统计学相关性。无心脏病的人群百分比在动脉高血压组中较低(高血压组53%,非高血压组71%,p<0.001),心房颤动(高血压组19%,非高血压组11%,p<0.05)和心力衰竭(高血压组13%,非高血压组7%,p<0.05)的发病率也较高。(摘要截断于250字)