Risk factors analysis of cardiac structural changes in essential hypertension patients with chronic heart failure
CAIRANG Zhuoma
CHEN Xiuying
LIAN Xinlong
LI Jia
ZHANG Yaping
Abstract：Objective To investigate the cardiac structural changes in essential hypertension patients with chronic heart failure, and to analyze the influencing factors.Methods Ninety-two cases of essential hypertension patients with chronic heart failure in the hospital from October 2015 to September 2016 were collected as observation group,84 cases of essential hypertension patients were collected as control group.Cardiac structural differences of patients in two groups were compared, and influential factors were analyzed.Results The transverse diameters of left ventricle of patients in observation group were significantly higher than control group (P <0.05).There was no significant difference in vertical diameter of left ventricle in two groups (P >0.05).Transverse diameters and vertical diameters of left atrium and left atrial diameters(LAD)of patients in observation group were significantly higher than control group (P <0.05).LVEF of patients in observation group were lower than control group (P <0.05), LVM, LVEDV and LVESV of patients in observation group were significantly higher than control group (P <0.05);IVST and LVPWT of patients in two groups had no significant differences (P >0.05);LVSI of patients in observation group was significantly higher than control group (P <0.05), and the former were more tend to spherical.LASI of patients in observation group were significantly smaller than control group, left atrial shape of patients in observation group were deviated from spherical (P <0.05).Multiple regression analysis showed that age, waist to hip ratio, and cardiac function were the risk factors for cardiac structural changes (OR =1.716, 95% CI 0.002-3.148, P =0.013;OR =1.715, 95% CI 1.163-4.329, P =0.009;OR =1.609, 95% CI 1.019-3.726, P=0.004).Conclusion The changes of cardiac configuration in essential hypertension patients with chronic heart failure were more significant than essential hypertension patients, and the changes were influenced by age, waist to hip ratio and heart function of gradeⅣ.
Keywords：HypertensionessentialHeart failurechronicCardiac structural changesAnalysis
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 865-868 )