高血压患者血浆Apelin与左心室肥厚及颈动脉粥样硬化的关系

被引:9
作者
李莉
李瑞杰
宋丽芬
耿敖
高蕾
机构
[1] 北京市垂杨柳医院心脏中心
关键词
病理学与病理生理学; 高血压; 左心室肥厚; 颈动脉粥样硬化; Apelin;
D O I
暂无
中图分类号
R544.1 [高血压]; R541.3 [高血压性心脏病]; R743 [脑血管疾病];
学科分类号
1002 ; 100201 ;
摘要
目的观察高血压患者血浆Apelin水平变化,探讨其与左心室肥厚和颈动脉粥样硬化的关系。方法选择原发性高血压患者125例,根据超声结果分为心肌肥厚组、内膜中膜增厚组、颈动脉斑块组和单纯高血压组,另选31例经体检筛选的健康者为对照组。采用酶联免疫分析法测定血浆Apelin含量。结果心肌肥厚组血浆Ape-lin含量(616±112ng/L)明显低于对照组(757±176ng/L)和单纯高血压组(715±170ng/L,P<0.001或0.05);并且血浆Apelin含量在内膜中膜增厚组(613±133ng/L)和颈动脉斑块组(592±146ng/L)均显著低于单纯高血压组和对照组(P<0.001或0.05)。相关分析表明,血浆Apelin水平与左心室质量指数、内膜中膜厚度和斑块指数均呈明显负相关(r分别为-0.253、-0.255和-0.246,P均<0.05)。结论血浆Apelin水平可能参与高血压心室重构和动脉硬化的发生与发展过程。
引用
收藏
页码:556 / 558
页数:3
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