| 老年高血压合并冠心病患者的心率变异性分析 |
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| 引用本文： | 李可,刘漠晗,卢才义.老年高血压合并冠心病患者的心率变异性分析[J].压电与声光,2010(6). |
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| 作者姓名： | 李可 刘漠晗 卢才义 |
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| 作者单位： | 解放军总医院老年心血管病研究所; |
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| 基金项目： | 军队“十一·五”科技攻关项目(08G124)~~ |
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| 摘 要： | 目的了解老年高血压(EH)病合并冠心病(CHD)患者心率变异性的特点及其临床意义。方法选择EH患者34例及EH合并CHD患者32例,老年健康对照组38例,青年健康对照组51例,进行24h动态血压和动态心电图检查,对两组患者心率变异性(HRV)参数及室性心律失常发生率进行对照分析。结果与对照组比较,EH组和EH合并CHD组HRV均降低(P<0.05),其中EH合并CHD组HRV降低更为显著(P<0.01);与对照组比较,EH组和EH合并CHD组室性心律失常的发生率增加(P<0.05),其中EH合并CHD组室性心律失常的发生率增加更为显著(P<0.01)。结论反映自主神经活性变化的HRV可作为高血压患者预后的重要指标之一。尤其对EH合并CHD的患者,临床上除降压治疗外,还应根据HRV的改变情况给予积极改善自主神经功能的治疗。
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| 关 键 词： | 高血压 交感神经系统 血压监测 心率变异性 |
Analysis of heart rate variability of elderly patients with hypertension combined with coronary heart disease |
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| LI Ke,LIU Mo-han,LU Cai-yi Institute of Geriatric Cardiology,Chinese PLA General Hospital,Beijing,China.Analysis of heart rate variability of elderly patients with hypertension combined with coronary heart disease[J].Piezoelectrics & Acoustooptics,2010(6). |
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| Authors: | LI Ke LIU Mo-han LU Cai-yi Institute of Geriatric Cardiology Chinese PLA General Hospital Beijing China |
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| Affiliation: | LI Ke,LIU Mo-han,LU Cai-yi Institute of Geriatric Cardiology,Chinese PLA General Hospital,Beijing 100853,China |
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| Abstract: | Objective To investigate the characteristics of heart rate variability(HRV)and clinical values in elderly patients with essential hypertension(EH)complicated by coronary heart disease(CHD).Methods 24-hour dynamic electrocardiogram was performed to examine the HRV in 34 patients with EH,32 patients with EH complicated by CHD,38 old healthy people as an old-aged control group and 51 middle-aged healthy people as a middle-aged control group.Their HRV and incidence of ventricular arrhythmia were comparatively a... |
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| Keywords: | Hypertension Sympathetic Nervous System Blood Pressure Monitoring Heart Rate Variability |
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