Intima-media thickness and left ventricle remodeling in patients with prehypertension and impaired glucose tolerance
10.3760/cma.j.issn.0253-3758.2011.12.006
- VernacularTitle:高血压前期合并糖耐量异常患者颈动脉内膜中膜厚度及心脏左室重构的研究
- Author:
Rui-Ying WANG
1
;
Qiong GUO
;
Xian YANG
;
Rui WANG
;
Shu-Tian HUANG
Author Information
1. 山西医科大学附属第二医院
- Keywords:
Hypertension;
Glucose tolerance test;
Tunica media;
Ventricular remodeling
- From:
Chinese Journal of Cardiology
2011;39(12):1105-1109
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the intima-media thickness and cardiac remodeling in patients with prehypertension and impaired glucose tolerance.Method Three-hundred patients were divided into four groups:normal control ( NC,n = 61 ),prehypertension ( PH,n = 83 ),impaired glucose tolerance ( IGT,n = 91 ),prehypertension and impaired glucose tolerance ( PH + IGT,n = 65 ).Intima-media thickness (IMT) was measured by doppler ultrasonography.Left ventricle mess (LVMI),midwall fractional shortening (mFS),peakE/peakA ( E/A ) were measured by echocardiography.Results ( 1 ) IMT was significantly increased in PH,IGT and PH + IGT groups than in NC group [ (0.7 ± 0.1 ) mm,(0.7 ± 0.1 )mm and( 1.0 ±0.1 ) mm vs.(0.6 ±0.1 ) mm,all P ＜0.01 ],which was significantly high in PH + IGT group than in PH or IGT group.Regression analysis demonstrated that high-sensitivity C-reactive protein (hsCRP),2-hour postprandial blood glucose (2hPBG),systolic pressure (SBP),diastolic blood pressure (DBP) were independent predictors to increased IMT.(2) LVMI was higher in PH and PH + IGT groups than in NC group [ (97.0 ± 3.3 ) g/m2,(97.1 ± 2.8 ) g/m2 vs.( 87.0 ± 2.0) g/m2,( 87.9 ± 1.5 ) g/m2,all P ＜ 0.01 ],and positively related with SBP,DBP.( 3 ) mFS was lower in PH and PH + IGT groups [(14.0±0.8)％,(14.0±0.8)％ vs.(18.3±1.0)％,(18.2±0.5)％,P＜0.01],negatively related with SBP and DBP.E/A was similar among groups and lower E/A was associated with higher SBP.Conclusion Vascular and left ventricular structure remodeling and systolic dysfunction could be detected in prehypertension patients.Impaired glucose tolerance could enhance vascular remodeling in prehypertension patients.
