OBJECTIVE: The purpose of this study is to approach the impact of obstructive sleep apnea-hypopnea syndrome (OSAHS) on left ventricular hypertrophy (LVH), to see whether OSAHS is an independent risk factor of LVH. METHOD: Chose patients with OSAHS or essential hypertension (EH) as the study group (78 cases) and subjects without OSAHS and EH as Normal control group (22 cases). The study group was divided into 4 groups according to the diseases of OSAHS and EH:EH group (26 cases), OSAHS group(25 cases) and EH + OSAHS group (27 cases). Body mass index (BMI), systolic blood pressure (SBP), diastolic blood pressure (DBP), interventricular septum thickness in diastole (IVSd), left ventricular posterior wall thickness in diastole (LVPWd) etc were tested in all the subjects. Statistical analysis was carried out with software of SPSS 11. 5 for windows. One-way analysis of variance and multiple stepwise regression analysis were used to assess the statistical evaluation. P < 0.05 was considered statistically significant. RESULT: IVSd and LVPWd of the control group were lower than study groups (EH group, OSAHS group and EH + OSAHS group), and IVSd, LVPWd of the EH + OSAHS group were higher than that of the EH group and OSAHS group (P < 0.05). Stepwise regression analysis showed that only AHI and SBP entered the regression equation (P < 0.05), it means that AHI and SBP are independent risk factors of IVSd and LVPWd. CONCLUSION OSAHS and SBP are independent risk factors of LVH.
Aged ; Case-Control Studies ; Female ; Humans ; Hypertension ; etiology ; Hypertrophy, Left Ventricular ; etiology ; Male ; Middle Aged ; Risk Factors ; Sleep Apnea, Obstructive ; complications