摘要
目的:探讨原发性高血压与冠状动脉造影病变程度的相关性。方法:回顾总结920例行冠状动脉造影者的临床资料,其中原发性高血压606例(65.87%),冠心病728例(79.13%),排除冠心病患者192例(20.87%)。冠状动脉造影病变程度由三方面表示:造影是否诊断冠心病、冠状动脉病变支数,冠状动脉病变Gensini总积分。采用单因素和多因素分析方法,分析冠状动脉造影病变程度与原发高血压发生率的关系。结果:冠状动脉造影病变程度随高血压发生率增加而加重。结论:冠状动脉造影病变程度随原发高血压发生率的增加而加重,故有效地控制高血压在干预冠状动脉粥样硬化发生和发展中具有重要意义。积极处理冠心病的其他相关危险因素也十分重要。
Objective：To evaluate the correlation between hypertension and severity of angiographic CAD in patients undergoing coronary angiography.
Methods：A total of 920 consecutive patients undergoing coronary angiography were retrospectively selected according to inclusion criteria. The severity of angiographic CAD was described below：①To establish whether CAD was diagnosed by angiography;②To investigate the number of diseased vessels. ③To determine the coronary artery disease Gensini cumulative index. Data were analyzed by univariate and multivariate analysis. Results：The severity of angiographic coronary artery disease in patients with hypertension were more serious than those without hypertension. Hypertension（ OR = 1. 638,95% CI 1. 291,2. 334 ,P = 0. 007 ） was a prominent predictor of the severity of angiographic coronary artery disease.
Conclusion ：The severity of angiographic coronary artery disease is worse in hypertensive than no- hypertensive patients, It is important to control hypertension in the intervention of the development of atherosclerosis.
出处
《中国循环杂志》
CSCD
北大核心
2007年第4期250-252,共3页
Chinese Circulation Journal
关键词
原发性高血压
冠状动脉造影病变程度
Essential hypertension
Severity of angiographic coronary artery disease
