尼日利亚人口中的高血压心脏病:患病率,表型和心血管并发症
Olugbenga O Abiodun1, Tina Anya1, Ibrahim Salau1
1Internal Medicine/Cardiology, Federal Medical Centre, Abuja, NGA.
Cureus
|May 12, 2025
概括
高血压性心脏病 (HHD) 在尼日利亚基本高血压患者中非常普遍,常常呈现左心室缩 (LVH) 和扩张功能障碍 (LVDD). 早期心声回声学对于诊断HHD及其表型至关重要.
科学领域:
- 心脏病学 心脏病学
- 高血压研究 高血压研究
- 医疗成像医学成像
背景情况:
- 撒哈拉以南非洲缺乏关于高血压心脏病 (HHD) 现型的研究,特别是检查基本高血压 (HTN) 中的左心室 (LV) 结构和功能.
- 了解尼日利亚人口中的HHD对于有效管理和预防心血管并发症至关重要.
研究的目的:
- 调查尼日利亚患有基本HTN的患者中HHD的流行率和表型特征.
- 为了确定相关的心血管并发症和HHD表型的风险因素,包括LVH和LVDD.
主要方法:
- 来自联邦医疗中心阿布贾高血压登记处的1,799名必需HTN患者 (2016-2021) 的横截面研究.
- 由异常的LV几何形状 (集中重塑或LVH) 和/或LV透静功能障碍 (LVDD) 通过心声学定义的HHD.
- 排除二次性HTN和怀孕引起的HTN.
主要成果:
- 观察到高频率的HHD (90.8%),集中式LV改造 (38.2%),LVH (47.4%) 和LVDD (61.6%).
- LVH独立地与心力衰竭,中风,LVDD和女性性别相关.
- LVDD与LVH,糖尿病,同心重塑,中风和60岁以上的年龄独立相关.
结论:
- 在尼日利亚高血压队列中发现HHD的高患病率,以LVH和LVDD为特征.
- 这些发现强调了常规心声回声扫描对于早期HHD诊断和管理的重要性.
- 促进心声回声仪的广泛使用可以改善HHD的早期发现和干预.
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