Arterial hypertension and left ventricular remodelling in elderly patients

被引:0
|
作者
Bakulina, I. A. [1 ]
Mutalova, E. G. [1 ]
Khusainova, L. N. [1 ]
Mustafin, Kh. M. [1 ]
Sadikova, R. I. [1 ]
Mingazetdinova, L. N. [1 ]
Smakaeva, E. R. [1 ]
机构
[1] Bashkir State Med Univ, Ufa, Russia
来源
RUSSIAN JOURNAL OF CARDIOLOGY | 2009年 / 03期
关键词
Arterial hypertension; heart remodelling; cerebral perfusion; transitory myocardial ischemia;
D O I
暂无
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In total, 104 elderly patients with arterial hypertension (A H) and 20 healthy controls were examined. Thirty-four individuals had essential AH (EAH), and 70-isolated systolic AH (ISAH). Statistically significant increase in blood pressure (BP) variability, reduction in night-time diastolic BP (DBP) combined with high systolic BP (SBP) level, and an increase in temporal index and night-time BP drop were maximal in ISAH patients. Disturbed systolic and diastolic left ventricular function was associated with transitory myocardial ischemia (79,7%) and silent night-time ischemia (SNI). SNI was characterised by higher SBP levels, and ISAH - by decreased night-time DBP. In elderly AH patients, cerebral perfusion was reduced, and in ISAH, adaptive and compensatory potential of cerebral vessels was also decreased.
引用
收藏
页码:40 / 45
页数:6
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