期刊文献+

高血压心肌缺血患者动态心电图联合24 h动态血压监测的价值 被引量:5

Value of dynamic electrocardiogram combined with 24 h ambulatory blood pressure monitoring in patients with hypertensive myocardial ischemia
在线阅读 下载PDF
导出
摘要 目的分析动态心电图联合24 h动态血压监测在高血压心肌缺血中的监测效果。方法选择2020年8月至2021年8月北京航天总医院心血管内科收治的123例高血压心肌缺血患者为观察组,选择2019年7月至2020年7月收治的122例高血压心肌缺血患者为对照组,两组患者均行动态血压监测及24 h动态心电图监测。观察两组患者心肌缺血发生率、昼夜收缩压(dSBP/nSBP)、昼夜舒张压(dDBP/nDBP)、昼夜心率(dHR/nHR)及ST段下移持续时间、下移幅度及心肌缺血阈变异性情况。结果观察组心肌缺血发生率高于对照组,差异有统计学意义(P<0.05)。观察组中有心肌缺血患者的dSBP低于无心肌缺血组患者,dHR、nSBP、nHR高于无心肌缺血组患者,差异有统计学意义(P<0.05)。对照组中,有心肌缺血组患者dSBP、nSBP低于无心肌缺血组患者,nHR高于无心肌缺血组患者,差异有统计学意义(P<0.05)。观察组有心肌缺血组患者的dSBP、nSBP高于对照组有心肌缺血组患者,差异有统计学意义(P<0.05)。观察组无心肌缺血组患者的dDBP、低于对照组无心肌缺血组患者,nSBP高于对照组无心肌缺血组患者,差异有统计学意义(P<0.05)。观察组白昼、夜间的ST段下移持续时间、下移幅度及心肌缺血阈变异性长于对照组,差异有统计学意义(P<0.05)。结论动态心电图、24 h动态血压监测联合应用可提高高血压心肌缺血诊断率,可同步观察患者心率、血压与心肌缺血间的关系,为临床诊治高血压心肌缺血提供有力依据。 Objective To investigate the clinical value of the application of dynamic electrocardiography combined with 24-hour ambulatory blood pressure monitoring in hypertensive myocardial ischemia.Methods A total of 123 patients with hypertensive myocardial ischemia admitted to the Department of Cardiovascular Medicine of Beijing Aerospace General Hospital from August 2020 to August 2021 were selected as the observation group,and 122 patients with hypertensive myocardial ischemia admitted to the Department of Cardiovascular Medicine from July 2019 to July 2020 were selected as the control group.All patients in the two groups underwent ambulate blood pressure monitoring and 24 h holter monitoring.The incidence of myocardial ischemia,day/night-systolic blood pressure(dSBP/nSBP),day/night-diastolic blood pressure(dDBP/nDBP),day/night-heart rate(dHR/nHR),duration and amplitude of ST segment descent and the variability of myocardial ischemia threshold were observed between the two groups.Results The incidence of myocardial ischemia in the observation group was higher than that in the control group,the difference was statistically significant(P<0.05).In the observation group,dSBP of patients with myocardial ischemia was lower than that of patients without myocardial ischemia,and dHR,nSBP and nHR were higher than those without myocardial ischemia,the differences were statistically significant(P<0.05).In the control group,dSBP and nSBP in the group with myocardial ischemia were lower than those in the group without myocardial ischemia,and nHR was higher than that in the group without myocardial ischemia,with statistical significances(P<0.05).The dSBP and nSBP in the observation group with myocardial ischemia were higher than those in the control group with myocardial ischemia,and the differences were statistically significant(P<0.05).The dDBP of observation group without myocardial ischemia was lower than that of control group without myocardial ischemia,the nSBP of observation group without myocardial ischemla was higher than that of control group without myocardial ischemia,and the differences were statistically significant(P<0.05).The duration,amplitude and myocardial ischemia threshold variability of ST segment downshift during the day and night in the observation group were longer than those in the control group,and the differences were statistically significant(P<0.05).Conclusion The combined application of ambulatory electrocardiogram and 24-hour ambulatory blood pressure monitoring can improve the diagnosis rate of hypertensive myocardial ischemia,and can simultaneously observe the relationship between patients'heart rate,blood pressure and myocardial ischemia,which provides a strong basis for clinical diagnosis and treatment of hypertensive myocardial ischemia.
作者 周红梅 ZHOU Hongmei(Electrocardiographic Room,Beijing Aerospace General Hospital,Beijing100076,China)
出处 《中国当代医药》 CAS 2023年第13期80-83,共4页 China Modern Medicine
关键词 动态心电图 24 h时动态血压监测 高血压 心肌缺血 Holter electrocardiogram 24 h ambulatory blood pressure monitoring Hypertension Myocardial ischemia
  • 相关文献

参考文献19

二级参考文献191

共引文献174

同被引文献52

引证文献5

二级引证文献6

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部