Objectvie To study the relevance of brain natriuretic peptide (BNP)level and left ventricular hypertrophy (LVH). Methods One hundred and sixteen patients with essential hypertension were divided into LVH group ( n =38) and unLVH group ( n=78)according to echocardiographic left ventricular mass index (LVMI),BNP levels of the two groups were measured and linear cor -relation analysis was made among BNP and LVH .Results The level of BNP was positively related with LVMI ( P <0.01),but nega-tively related with the ratio of E/A and LVEF ( P <0.01).Comparison of related parameters of two groups ,showed that BNP level of LVH group was higher than that of unLVH group ( P <0.01),but the ratio of E/A and LVEF were lower than that of unLVH group (P <0.01).Conclusion The change of plasma BNP is closely related with LVH ,so the related index may be considered as an indi-rect diagnostic evidence of LVH in essential hypertension patients .%目的:探讨原发性高血压患者血浆脑钠素( BNP)水平与左室肥厚( LVH)的相关性。方法将116例原发性高血压患者根据超声心动图左心室质量指数(LVMI)的不同分为LVH组(38例)和非LVH组(78例),测定两组患者血浆BNP水平,并对其进行相关性分析。结果血浆BNP水平与LVMI呈正相关( P <0.01),与E/A比值呈负相关( P <0.01),与左心室射血分数(LVEF)呈负相关( P <0.01);两组相关参数比较,LVH组BNP水平高于非LVH组( P <0.01),E/A比值、LVEF均低于非LVH组( P <0.01)。结论血浆BNP水平变化与LVH密切相关,其相关指标可作为原发性高血压患者LVH的间接诊断依据。
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