The Diagnostic Value Vectorcardiogram the Early Stage Hypertensive Heart Target Organ Damage Analysis Influencing Factors

Youling LONG; Tianzhen XIONG; Zutao SHENG; Zhixian ZHOU; Rui YIN; Yong SU

doi:10.12259/j.issn.2095-610X.S20240616

Volume 45 Issue 6

Jul. 2024

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Youling LONG, Tianzhen XIONG, Zutao SHENG, Zhixian ZHOU, Rui YIN, Yong SU. The Diagnostic Value Vectorcardiogram the Early Stage Hypertensive Heart Target Organ Damage Analysis Influencing Factors[J]. Journal of Kunming Medical University, 2024, 45(6): 120-125. doi: 10.12259/j.issn.2095-610X.S20240616

Citation:

Youling LONG, Tianzhen XIONG, Zutao SHENG, Zhixian ZHOU, Rui YIN, Yong SU. The Diagnostic Value Vectorcardiogram the Early Stage Hypertensive Heart Target Organ Damage Analysis Influencing Factors[J]. Journal of Kunming Medical University, 2024, 45(6): 120-125. doi: 10.12259/j.issn.2095-610X.S20240616

Citation:

Youling LONG, Tianzhen XIONG, Zutao SHENG, Zhixian ZHOU, Rui YIN, Yong SU. The Diagnostic Value Vectorcardiogram the Early Stage Hypertensive Heart Target Organ Damage Analysis Influencing Factors[J]. Journal of Kunming Medical University, 2024, 45(6): 120-125. doi: 10.12259/j.issn.2095-610X.S20240616

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The Diagnostic Value Vectorcardiogram the Early Stage Hypertensive Heart Target Organ Damage Analysis Influencing Factors

doi: 10.12259/j.issn.2095-610X.S20240616

1.
Dept. of Electrophysiology
2.
Dept. of Cardiovascular，Kunming Municipal Hospital of Traditional Chinese Medicine，Kunming Yunnan 650051
3.
Dept. of Geriatric，920th Hospital of PLA Joint Logistics Support Force，Kunming Yunnan 650032，China

Received Date: 2024-03-04
Available Online: 2024-05-23
Publish Date: 2024-06-25

Abstract

Abstract

Objective To investigate the value of vectorcardiography in the diagnosis of abnormal cardiac electrical activity in hypertension, and to analyze the influencing factors of early cardiac target organ damage. Methods 80 cases in the Department of Cardiovascular of Kunming Municipal Hospital of Traditional Chinese Medicine from January 2022 to February 2023, were selected.Cardiac structural abnormalities were excluded by ultrasound cardiogram. The detection of abnormal ventricular depolarization and repolarization indexes was compared between electrocardiogram and vectorcardiogram. 80 cases were divided into normal group （n = 40） and abnormal group （n = 40） according to the results of vectorcardiogram, the related influencing factors of early cardiac damage were compared between the two groups, and the indicators with statistical significance were included in the binary Logistic regression analysis to screen out the independent influencing factors of early heart damage. Results Vectorcardiogram was superior to ECG in detecting abnormal ventricular repolarization indexes （P < 0.05）, and there was no significant difference in detecting abnormal depolarization indexes between the two groups （P > 0.05）. There were significant differences between the normal group and the abnormal group in age, regular medication, family history, diabetes, 24 h average systolic blood pressure （24 h SBP）, daytime average systolic blood pressure （DSBP）, night average systolic blood pressure （NSBP）, blood pressure load, morning blood pressure, and pulse pressure （P < 0.05）. Binary Logistic regression analysis showed, that age [OR （95%CI） = 0.891, 0.998] and NSBP [OR （95%CI） = 1.018, 2.10], family history [OR （95% CI） = 0.029, 0.499], diabetes [OR = 0.042 （95%CI）, 0.916] were the independent influencing factors of early cardiac damage in hypertension. Conclusion Vectorcardiogram is an effective method to detect early cardiac target organ damage in hypertension.
- Early heart target organ damage,
- Abnormal ECG activity,
- Vectorcardiogram,
- Influencing factors

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