| Essential Hypertension (EH), of which the cardiac and mental vascular complications are the most severe, has the highest prevalence rate in our country. Being one of the most serious target-organs damages of hypertension ,left ventricular hypertrophy(LVH), can lead to heat distal dysfunction and contractility dysfunction. At last It will lead to heat failure. It can also lead to arrhythmia and coronary heat disease or aggravate coronary heat disease. If we diagnose and cure LVH earlier. We can amelioration the prognosis and improve the quality of life of EH patients. How to diagnose The LVH of EH . At present, the standard of LVH have not been unificated completely by echocardiogram. There are several standards to diagnose LVH with electrocardiography. Huipu cardiofax often give a English report LVH. But we don't know the reliability. There are many studies of inversio LVH of EH. But we don't know whether the effect of the traditional Chinese medicine is better than west medicine or not.This study have a research of the diagnosis of the LVH of EH and the effect in the LVH of EH of west medicine and traditional Chinese medicine .1. The study of symptomatology of compare the diagnostic capacity for left ventricular in patient of hypertrophy of NYHAC standard with huipu standard.Purpose : Compare the diagnostic capacity for left ventricular in patient of hypertrophy of NYHAC standard with huipu standard.Method:We research the diagnosis of LVH using ultrasonic cardiography (UCG) and electrocardiography .we also compared the diagnostic capacity for left ventricular in patient of hypertrophy of NYHAC standard with huipu standard.Result:1.The LVH diagnosis standard of huipu is not a final diagnosis .2. The sensitivity of the NYHAC standard is low, but the specificity and the accuracy of it are high. 3.The sensitivity of the huipu standard is high, but the specificity and the accuracy of it are low. 3. If we take the LVMI as a gold standard, the sensitivity, the specificity and the accuracy of NYHAC standard are both high. 4. Although the sensitivity of huipu criteria is great, only one electrocardiography which are identified according to Septal thickness of the ventricle ,the thickness of the posterior wall of the left ventricle and the Diameter of the short-axis left ventricle in end diastole is positive. 5.The positive rate of LVMI criteria is not increase with the course elongation or the blood pressure level increase. But the positive rate of NYHAC criteria is increase with the blood pressure level increase, and the positive rate of NYHAC criteria is higher than other when the progress longer than 20 years.Conclusion : 1Huipu criteria is only a reference criteria. 2.The LVMI criteria in ultrasonic cardiography criteria is the most impontant standard in foot layer hospital. 3. NYHAC criteria is the most ideal criteria in all electrocardiography criteria. 4. Ultrasonic cardiography can identified LVH earlier, and NYHAC identified LVH later.2.The study of symptomatology of essential hypertension patients and the EH patients with LVHPurpose: To study the symptomatology of essential hypertension patients and the EH patients with LVHMethod: We investigated 133 EH outpatients, taking syndrome-differentiation of deficiency-syndrome and blood-stasis-syndrome. Result: 1. EH patients' heart-deficiency-syndrome is more than liver—deficiency—syndrome and kidney--deficiency—syndrome.2. EH patients' blood-stasis-syndrome is more than qi--deficiency--syndrome and yin--deficiency--syndrome and yang-deficiency -syndrome.3.The EH patients with LVH have the same result. And the blood-deficiency-syndrome is more severe than other EH patient. Conclusion : 1. Heart acts the same important status as the liver and kidney in the diagnosis and cure of EH; 2.Heart host soul and heart host blood vessel are the mechanism of Chinese medicine science.3 Blood-stasis-syndrome is prevalence in EH patients. 3. the blood-- deficiency-syndrome of the EH patients with LVH is more severe than other EH patient. |
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