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心脏是高血压病直接受累的主要器官,超声心动图检查发现50%以上的轻、中裂高血压者存在左心室肥厚(LVH)。随着LVH的发展,心脏受影响可能有:舒张和收缩功能相继减退,最终发生充血性心力衰竭;造成冠状循环贮备降低,加重可能并存的冠心病;心肌内电传导速度异常,各种心律失常的发生率明显增加;还易并发脑卒中。目前各国学者对高血压降压治疗中LVH逆转或消退问题予以高度重视。本文对此作一综述。
The heart is the major organ involved directly in hypertension and echocardiography has found that left ventricular hypertrophy (LVH) is present in more than 50% of patients with mild, moderately severe hypertension. With the development of LVH, the heart may be affected by: diastolic and contractile function have decreased, eventually the occurrence of congestive heart failure; resulting in reduced coronary circulation reserve, increasing the possibility of coexisting coronary heart disease; myocardial electrical conduction velocity abnormalities, a variety of arrhythmia The incidence was significantly increased; also complicated by stroke. At present, scholars from various countries pay more attention to the reversal or regression of LVH in the treatment of hypertension. This article gives a summary of this.