Identification of an Increased Short-Term Blood Pressure Variability on Ambulatory Blood Pressure Monitoring as a Coronary Risk Factor in Diabetic Hypertensives

Identification of an Increased Short-Term Blood Pressure Variability on Ambulatory Blood Pressure Monitoring as a Coronary Risk Factor in Diabetic Hypertensives
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DOI:
10.1080/10641960902822518
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发表时间:
2009-01-01
影响因子:
12.3
通讯作者:
Umemura, Satoshi
Umemura, Satoshi
中科院分区:
医学4区
文献类型:
--
作者:
Ozawa, Motoko;Tamura, Kouichi;Umemura, Satoshi

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我们通过动态血压监测对72名因教育计划住院的糖尿病高血压患者进行了冠心病(CHD)危险因素的研究。将患者分为两组(CHD组,19例;非CHD组,53例),沿着合并或不合并CHD。在动态血压监测中,两组之间的血压值在一天内没有显著差异。冠心病组血压变异性明显大于非冠心病组。Logistic回归分析结果显示,夜间收缩压变异是冠心病的独立危险因素。
We examined risk factors for coronary heart disease (CHD) by ambulatory blood pressure (BP) monitoring in 72 diabetic hypertensives who were hospitalized for the educational program. The patients were divided into two groups (CHD group, 19 subjects; and non-CHD group, 53 subjects) along with or without co-existing CHD. On ambulatory BP monitoring, no significant differences were found between the groups regarding BP values through the day. However, the CHD group had a significantly grater BP variability than non-CHD group. The result of logistic regression analysis demonstrated that nighttime systolic BP variability was an independent risk factor for CHD.