medicina44巻1号

2007年01月発行

今月の主題 高血圧の臨床―焦点の合った個別診療へ向けて 臓器障害の臨床指標のエビデンスとその評価法

心臓(心エコー，BNP)

著者： 石川譲治¹ 苅尾七臣¹

所属機関： ¹自治医科大学循環器内科

ページ範囲：P.74 - P.79

ポイント

●左室肥大は高血圧性臓器障害であるとともに，心血管イベントの予測因子でもある．

●心電図の左室肥大と心臓超音波の左室肥大は必ずしも一致せず，それぞれが心血管イベントの危険因子である．

●左室肥大を伴う高血圧患者は心駆出率が正常であっても拡張障害をきたす場合がある．

●高血圧性心疾患の診療でBNPを参考にする．

参考文献

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