Ventricular arrhythmias in normotensive subjects and in mild hypertensive patients

被引:1
作者
Fariello, R [1 ]
Crippa, M [1 ]
Damiani, G [1 ]
Notaristefano, I [1 ]
Costa, R [1 ]
Boni, E [1 ]
Corda, L [1 ]
Chiari, E [1 ]
Zaninelli, A [1 ]
机构
[1] Dept Internal Med Spedali Civili, Brescia, Italy
关键词
D O I
10.1177/000331979804900202
中图分类号
R6 [外科学];
学科分类号
1002 ; 100210 ;
摘要
Twenty-five normotensive subjects (14 men, 11 women) aged from 25 to 60 years (mean 36) and 30 untreated patients with mild hypertension (stages 1 and 2, JNC V) without target organ damage (16 men, 14 women), aged 26-59 years (mean 35.8) underwent continuous 24-hour ECG Holter monitoring with a Fukuda Denshi SM-40 ambulatory recorder and SCM-400 ECG analyzer. During 24-hour ambulatory ECG recording, mean heart rate was slightly but not significantly higher in hypertensive patients (73.3 +/- 10 beats per minute [bpm]) in comparison with normotensive subjects (71.2 +/- 12 bpm). The prevalence of premature atrial contractions was similar in the two groups. Total ventricular arrhythmias were more prevalent in the group of mild hypertensive patients (P<0.05), who also had a higher prevalence in complex forms of ectopy (r=0.81 for bigeminy; r=0.83 for trigeminy; r=0.83 for couplets). Holter recordings did not show abnormalities of ST-T wave or episodes of silent ischemia.
引用
收藏
页码:99 / 103
页数:5
相关论文
共 23 条
[11]  
GIFFORD RW, 1993, ARCH INTERN MED, V153, P154
[12]   VENTRICULAR ARRHYTHMIA IN UNTREATED NEWLY PRESENTING HYPERTENSIVE PATIENTS COMPARED WITH A MATCHED NORMAL POPULATION [J].
JAMES, MA ;
JONES, JV .
JOURNAL OF HYPERTENSION, 1989, 7 (05) :409-415
[13]   AUTONOMIC NERVOUS CARDIOVASCULAR REGULATION IN BORDERLINE HYPERTENSION [J].
JULIUS, S ;
ESLER, M .
AMERICAN JOURNAL OF CARDIOLOGY, 1975, 36 (05) :685-696
[14]   LONG-TERM FOLLOW-UP OF ASYMPTOMATIC HEALTHY-SUBJECTS WITH FREQUENT AND COMPLEX VENTRICULAR ECTOPY [J].
KENNEDY, HL ;
WHITLOCK, JA ;
SPRAGUE, MK ;
KENNEDY, LJ ;
BUCKINGHAM, TA ;
GOLDBERG, RJ .
NEW ENGLAND JOURNAL OF MEDICINE, 1985, 312 (04) :193-197
[15]   AUTONOMIC AND NON-AUTONOMIC CIRCULATORY COMPONENTS IN ESSENTIAL HYPERTENSION IN MAN [J].
KORNER, PI ;
SHAW, J ;
UTHER, JB ;
WEST, MJ ;
MCRITCHIE, RJ ;
RICHARDS, JG .
CIRCULATION, 1973, 48 (01) :107-117
[16]   CORRELATES OF VENTRICULAR ECTOPIC ACTIVITY IN ISOLATED SYSTOLIC HYPERTENSION [J].
KOSTIS, JB ;
ALLEN, R ;
BERKSON, DM ;
CURB, JD ;
DAVEY, J ;
GRIMM, RH ;
HALL, WD ;
LACY, CR ;
LEE, M ;
MILLER, S ;
PRESSEL, S ;
PRINEAS, RJ .
AMERICAN HEART JOURNAL, 1994, 127 (01) :112-121
[17]   RISK OF VENTRICULAR ARRHYTHMIAS IN LEFT-VENTRICULAR HYPERTROPHY - THE FRAMINGHAM HEART-STUDY [J].
LEVY, D ;
ANDERSON, KM ;
SAVAGE, DD ;
BALKUS, SA ;
KANNEL, WB ;
CASTELLI, WP .
AMERICAN JOURNAL OF CARDIOLOGY, 1987, 60 (07) :560-565
[18]   VENTRICULAR ARRHYTHMIAS IN PATIENTS WITH HYPERTENSIVE LEFT-VENTRICULAR HYPERTROPHY [J].
MCLENACHAN, JM ;
HENDERSON, E ;
MORRIS, KI ;
DARGIE, HJ .
NEW ENGLAND JOURNAL OF MEDICINE, 1987, 317 (13) :787-792
[19]   HYPERTENSION AND SUDDEN-DEATH - INCREASED VENTRICULAR ECTOPIC ACTIVITY IN LEFT-VENTRICULAR HYPERTROPHY [J].
MESSERLI, FH ;
VENTURA, HO ;
ELIZARDI, DJ ;
DUNN, FG ;
FROHLICH, ED .
AMERICAN JOURNAL OF MEDICINE, 1984, 77 (01) :18-22
[20]   LEFT-VENTRICULAR HYPERTROPHY SENSITIZES THE MYOCARDIUM TO THE DEVELOPMENT OF ISCHEMIA [J].
SALCEDO, EE ;
MARWICK, TH ;
KORZICK, DH ;
GOORMASTIC, M ;
GO, RT .
EUROPEAN HEART JOURNAL, 1990, 11 :72-78