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高血压性心脏病中的冠状动脉微循环:功能意义及治疗启示

Coronary microcirculation in hypertensive heart disease: functional significance and therapeutic implications.

作者信息

Motz W, Vogt M, Strauer B E

机构信息

Abteilung für Kardiologie, Pneumologie und Angiologie, Heinrich-Heine-Universität, Düsseldorf.

出版信息

Clin Investig. 1993;71(5 Suppl):S42-5. doi: 10.1007/BF00180075.

DOI:10.1007/BF00180075
PMID:8518540
Abstract

In arterial hypertension left ventricular hypertrophy comprises myocyte hypertrophy, interstitial fibrosis and structural alterations of the coronary microcirculation. This leads to an impairment of diastolic function of the left ventricle and coronary flow reserve despite normal epicardial arteries. Consequently, antihypertensive treatment should aim at [13] reversing myocyte hypertrophy, [14] restoring myocardial structure and [8] improving coronary flow reserve along with blood pressure normalization.

摘要

在动脉高血压中,左心室肥厚包括心肌细胞肥大、间质纤维化以及冠状动脉微循环的结构改变。尽管心外膜动脉正常,但这会导致左心室舒张功能受损以及冠状动脉血流储备降低。因此,抗高血压治疗应旨在[13]逆转心肌细胞肥大,[14]恢复心肌结构,以及[8]在血压正常化的同时改善冠状动脉血流储备。

相似文献

1
Coronary microcirculation in hypertensive heart disease: functional significance and therapeutic implications.高血压性心脏病中的冠状动脉微循环:功能意义及治疗启示
Clin Investig. 1993;71(5 Suppl):S42-5. doi: 10.1007/BF00180075.
2
Response of hypertensive left ventricular hypertrophy and coronary microvascular disease to calcium antagonists.高血压左心室肥厚和冠状动脉微血管疾病对钙拮抗剂的反应。
Am J Cardiol. 1995 Nov 2;76(13):24D-30D. doi: 10.1016/s0002-9149(99)80488-3.
3
Therapy of hypertensive cardiac hypertrophy and impaired coronary microcirculation.高血压性心肌肥厚与冠状动脉微循环障碍的治疗
J Cardiovasc Pharmacol. 1994;24 Suppl 1:S34-8. doi: 10.1097/00005344-199424001-00007.
4
Pharmacotherapeutic effects of antihypertensive agents on myocardium and coronary arteries in hypertension.抗高血压药物对高血压患者心肌和冠状动脉的药物治疗作用。
Eur Heart J. 1992 Sep;13 Suppl D:100-6. doi: 10.1093/eurheartj/13.suppl_d.100.
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[Coronary microangiopathy in hypertensive heart disease: pathogenesis, diagnosis and therapy].[高血压性心脏病中的冠状动脉微血管病变:发病机制、诊断与治疗]
Herz. 1995 Dec;20(6):355-64.
6
Systolic ventricular dysfunction and heart failure due to coronary microangiopathy in hypertensive heart disease.高血压性心脏病中冠状动脉微血管病变所致的收缩期心室功能障碍和心力衰竭。
Am J Cardiol. 1995 Nov 2;76(13):48D-53D. doi: 10.1016/s0002-9149(99)80492-5.
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[Prevention with vasoactive drugs].[使用血管活性药物进行预防]
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Organ protection: benefit from antihypertensive treatment?器官保护:从降压治疗中获益?
J Cardiovasc Pharmacol. 1994;24 Suppl 2:S50-4.
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ACE-inhibitors and coronary microcirculation.
Basic Res Cardiol. 1993;88 Suppl 1:97-106. doi: 10.1007/978-3-642-72497-8_7.
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Medical repair of hypertensive left ventricular remodeling.高血压性左心室重构的医学修复。
J Cardiovasc Pharmacol. 1992;20 Suppl 1:S32-6.

引用本文的文献

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What is the current status of quantification and nuclear medicine in cardiology?心脏病学中定量分析和核医学的现状如何?
Eur J Nucl Med. 1996 Jul;23(7):815-51. doi: 10.1007/BF00843713.

本文引用的文献

1
Angina caused by reduced vasodilator reserve of the small coronary arteries.由小冠状动脉血管舒张储备减少引起的心绞痛。
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Physiological aspects of primary hypertension.原发性高血压的生理方面
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7
The significance of coronary reserve in clinical heart disease.冠状动脉储备在临床心脏病中的意义。
J Am Coll Cardiol. 1990 Mar 15;15(4):775-83. doi: 10.1016/0735-1097(90)90273-r.
8
Morphologic characteristics and functional significance of focal fibromuscular dysplasia of small coronary arteries.小冠状动脉局灶性纤维肌发育不良的形态学特征及功能意义
Am J Cardiol. 1990 Apr 3;65(14):12G-22G. doi: 10.1016/0002-9149(90)90954-y.
9
Evidence of endothelial dysfunction in coronary resistance vessels in patients with angina pectoris and normal coronary angiograms.心绞痛且冠状动脉造影正常患者的冠状动脉阻力血管存在内皮功能障碍的证据。
Am J Cardiol. 1991 Oct 15;68(10):996-1003. doi: 10.1016/0002-9149(91)90485-4.
10
Cardioreparative effects of lisinopril in rats with genetic hypertension and left ventricular hypertrophy.赖诺普利对遗传性高血压和左心室肥厚大鼠的心脏修复作用。
Circulation. 1991 May;83(5):1771-9. doi: 10.1161/01.cir.83.5.1771.