Influence of impaired glucose metabolism on cardiovascular function in patients with essential hypertension
10.3969/j.issn.1008-0074.2014.04.03
- VernacularTitle:糖代谢异常对原发性高血压患者心血管功能的影响
- Author:
Gang WANG
;
Bing XIA
- Publication Type:Journal Article
- Keywords:
Glucose metabolism disorders;
Hypertension;
Cardiovascular system
- From:
Chinese Journal of cardiovascular Rehabilitation Medicine
2014;23(4):370-375
- CountryChina
- Language:English
-
Abstract:
Objective: To explore the influence of impaired glucose metabolism (IGM) on cardiovascular function in patients with essential hypertension (EH). Methods: A total of 46 pure EH patients and 36 EH + type 2 diabetes mellitus (T2DM) patients were selected. Levels of blood glucose, blood lipids, serum uric acid (UA), fibrinogen (Fb), serum homocysteine (Hcy) and urinary microalbumin were measured, and patients received 24h ambulatory blood pressure monitoring (ABPM) and color Doppler echocardiography. Clinic indexes, ambulatory blood pressure parameters and incidence rate of cardiac diastolic dysfunction were compared and analyzed between two groups. Cardiac diastolic dysfunction was regarded as a binary dependent variable, and it underwent multi-factor gradual binary regression analysis. Results: Body mass index (BMI), blood glucose, blood lipids (except high density lipoprotein cholesterol, apoprotein AI), UA, Fb, serum Hcy and urinary microalbumin levels in EH + T2DM group were significantly higher than those of pure EH group (P<0.05 or P<0.01), and their 24h mean systolic blood pressure (24hSBP), daytime mean SBP (dSBP), 24h mean pulse pressure (24hPP) and daytime mean PP (dPP) were significantly higher than those of pure EH patients (P<0.05 or P<0.01). Left ventricular ejection fraction (LVEF) of both groups was > 40%, and incidence rate of cardiac diastolic dysfunction in EH + T2DM group (72.2%) was significantly higher than that of pure EH group (45.7%), P<0.05. Binary Logistic regression analysis indicated that age (OR=1.160, 95%CI: 1.002~1.342, P=0.012), DM (OR=3.095, 95%CI: 1.056~9.079, P=0.029) and glycosylated hemoglobin (HbA1c, OR=1.756, 95%CI: 1.261~2.445, P=0.008) were independent risk factors for cardiac diastolic dysfunction in EH patients. Conclusion: Impaired glucose metabolism aggravates cardiovascular system dysfunction in patients with essential hypertension through aggravating atherosclerosis and cardiac early diastolic dysfunction. Therefore, improvement of glucose metabolism in these patients could help to reduce their risk of cardiovascular diseases.
- Full text:P020150213517677444287.doc
