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《Chongqing Medical Journal》 2001-05
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Relation between circadian profiles of blood pressure, left ventricular hypertrophy and myocardial ischemia patients with essential hypertesnsion

PEN Jiang, LUO Zhao lin, SUN Xiang guo (Outpatient Service Clinic of Yibin Military Subarea Yibin 644000)  
Objective To study the relationships between circadian profiles of blood pressure(BP), left ventricular hypertrophy(LVH) and myocardial ischemia(MI) in patients with essential hypertension.Methods We investigated the data of 24h BP, left ventricular mass index(LVHI) and the occurrence of MI in 64 cases with essential hypertension, which were divided into two groups:the normal groups("dippers" n=30) and the abnormal group("non dippers" n=34).Results The diastolic blood pressure(DBP) and DBP load during 24h and the systolic blood pressure(SBP),SBP load, DBP and DBP load during day time were no difference between the two groups; the SBP and SBP load during 24h and SBP, SBP load, DBP and DBP load during night time were higher in "non dippers" than in "dippers";the LVHI and the occurrence of MI were also higher in "non dippers".Conclusion The LVH is more serious in cases with silent circadian rhythm than in cases with normal circadian rhythm, the occurrence of MI is also higher in cases with silent circadian rhythm.
【Key Words】: hypertension circadian rhythm ventricular hypertrophy myocardial ischemia
【CateGory Index】: R544.1
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