Ambulatory blood pressure monitoring and echocardiographic left ventricular wall thickness and mass.
Ambulatory blood pressure monitoring and echocardiographic left ventricular wall thickness and mass.
复制标题
动态血压监测和超声心动图左心室壁厚度和质量。
DOI：
10.1093/ajh/3.2.81
复制
发表时间：
1990
影响因子：
3.2
通讯作者：
A. Carr
中科院分区：
文献类型：
--
作者：
Prisant Lm;A. Carr
在一组高度选定的稳定期高血压患者中，我们评估了各种血压测量（24小时平均自动动态血压、4小时自动动态早晨平均血压、多次就诊平均血压和一次就诊平均血压）与高血压心脏靶器官损伤的各种超声心动图指标(左房内径、左室舒张末期内径、后壁厚度、联合壁厚度、相对壁厚度、左室质量和质量指数、联合壁厚度/左室舒张直径比)。这些数据表明，与多室或单室平均舒张压相比，通过自动无创动态监测单室24小时平均舒张压能更好地预测超声心动图后壁厚度、联合壁厚度或相对壁厚度。24小时平均收缩压和舒张压与超声心动图参数（相关系数由高到低）有高度显著的相关性：联合壁厚、后壁厚、联合壁厚/左室舒张直径、左室质量指数、相对壁厚和左室质量。左心室舒张末期尺寸与任何收缩压或舒张压测量没有线性相关。左心房尺寸仅与24小时平均舒张压有显著相关性。单室平均血压与超声心动图参数无线性相关。（摘要删节250字）
In a highly select group of stable hypertensive patients, we have assessed the strength of association between various blood pressure measurements (24 h average automated ambulatory blood pressure, 4 h automated ambulatory morning average blood pressure, multiple office visit average blood pressure, and a single office visit average blood pressure) and various echocardiographic indices of hypertensive cardiac target organ damage (left atrial diameter, left ventricular end diastolic diameter, posterior wall thickness, combined wall thickness, relative wall thickness, left ventricular mass and mass index, and combined wall thickness/left ventricular diastolic diameter ratio). These data demonstrated that a single 24 h average diastolic blood pressure by automatic noninvasive ambulatory monitoring was a significantly better predictor of echocardiographic posterior wall thickness, combined wall thickness or relative wall thickness than the multiple office or single office average diastolic blood pressure. Also there were highly significant correlations between both 24 h average systolic and diastolic blood pressure and these echocardiographic parameters (in descending order of correlation coefficient): combined wall thickness, posterior wall thickness, combined wall thickness/left ventricular diastolic diameter, left ventricular mass index, relative wall thickness, and left ventricular mass. Left ventricular end diastolic dimension did not linearly correlate with any systolic or diastolic blood pressure measurement. Left atrial dimension demonstrated only a significant association with 24 h average diastolic blood pressure. Single office average blood pressure did not linearly correlate with any echocardiographic parameter.(ABSTRACT TRUNCATED AT 250 WORDS)