[ST-segment depressions correlate in patients with hypertensive heart disease with spontaneous changes in blood pressure].
In 15 patients with essential hypertension, anginal pain, and angiographically excluded coronary artery disease 24-h monitoring of the ST-segment and blood pressure was performed. 26 episodes with ST-segment depressions 0400.1 mV were recorded in 11/15 patients. In 10/26 episodes with ST-segment depressions blood pressure was elevated above 150/95 mm Hg or by more than 20% as compared to three successive measurements before the ST-segment depressions. Heart rate was increased by more than 20% in 20/26 ST-segment depressions. During 9 periods with ST-segment depressions angina pectoris was reported; in addition 27 anginal attacks without ST-segment depressions were observed. A significant, positive correlation between the diastolic (p less than 0.005) and systolic (p less than 0.02) blood pressure and the extent of the ST-segment depression was observed. These correlations imply a patho-physiological meaning of ST-segment depressions in hypertensive patients.
Wehling
M
M
Medizinische Klinik, Klinikum Innenstadt, München.
Lössl
M
M
Theisen
K
K
Frey
A
A
D000787:Angina Pectoris / Q000175:diagnosis / Q000503:physiopathology; D001145:Arrhythmias, Cardiac / Q000175:diagnosis / Q000503:physiopathology*; D001794:Blood Pressure / Q000502:physiology*; D006332:Cardiomegaly / Q000175:diagnosis / Q000503:physiopathology*; D003327:Coronary Disease / Q000175:diagnosis / Q000503:physiopathology; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005080:Exercise Test; D005260:Female; D006329:Heart Conduction System / Q000503:physiopathology*; D006801:Humans; D006973:Hypertension / Q000175:diagnosis / Q000503:physiopathology*; D008297:Male; D008875:Middle Aged
ST-Strecken-Senkungen korrelieren bei Patienten mit hypertensiver Herzerkrankung mit spontanen Anderungen des Blutdruckes.