Community Prehypertension Population Resting Heart Rate And Risk Factors And Target Organ Damage

Objective:By prehypertension(prehypertension) population resting heart rate(resting heart rate, RHR), weight, height, blood pressure, blood sugar, blood lipids joint detection, and the number of cases of statistics prehypertension target organ damage, the analysis RHR the role of population and its impact on prehypertension risk factors and target organ damage.Methods:Select May 2015- prehypertension in the elderly population in Taiyuan City in October 139 cases in a community medical diagnosis, examination of the same period177 cases of healthy people. Baseline data for the two groups were selected staff(height,weight, blood pressure, blood sugar, blood lipids, etc.) and RHR were detected, general information and compare two populations RHR whether the differences. RHR different levels of the prehypertension group divided into three groups. RHR1 Group: ≤70 beats /min, RHR2 group: 71 to 85 beats / min, RHR3 Group:> 85 beats / min, statistical or without left ventricular hypertrophy, coronary heart disease, stroke and kidney damage and other target organ damage. Comparison of cardiovascular risk factors in people with prehypertension RHR different groups: systolic blood pressure(SBP), diastolic blood pressure(DBP), body mass index(BMI), fasting plasma glucose(FPG), total cholesterol(TC), triglyceride(TG), high density lipoprotein(HDL-C) and low density lipoprotein(LDL-C) difference with target organ damage incidence and analyze whether the statistical significance.Results:1. Baseline information prehypertension and normal blood pressure group comparison shows: BMI, SBP, DBP, FPG, TC, HDL-C, LDL-C were statistically significant(P <0.05); the remaining indicators: gender, age, TG was no significant difference(P> 0.05).2. prehypertension group RHR(75.58 ± 9.62) was significantly higher than normal blood pressure group(73.51 ± 6.10), compare the difference was statistically significant(P <0.05) between the two.3. normotensive and hypertensive groups were pre-set different RHR comparison:RHR2, RHR3 difference was statistically significant(P <0.05).4. prehypertension crowd DBP, FPG, TG between RHR1 group RHR3 group respectively and between RHR2 group RHR3 group difference was statistically significant(P <0.05), and increased gradually with the increase of RHR but between RHR1 and RHR2 no significant difference(P> 0.05).5. Correlation analysis showed RHR and DBP, FPG, TG were positively correlated,with a correlation coefficient(r = 0.190, P <0.05; r = 0.242, P <0.01; r = 0.222, P <0.01),and HDL-C was negative correlation, the correlation coefficient(r =-0.169, P <0.05).6. RHR among different groups in different incidence of prehypertension target organ damage, RHR, the higher the incidence of target organ damage, and between the RHR group were statistically significant(P <0.05).Conclusion:RHR faster with prehypertension in the elderly have some relevance, as described RHR accelerate assess prehypertension crowd with target organ damage and a monitoring indicator for cardiovascular risk factors.Institutional care to community health workers should pay attention to prehypertension people change their RHR, if found in patients with elevated RHR must take early and appropriate interventions to prevent further development of disease causedamage to the target organ, actively carry out primary hypertension prevention work.Further research is needed in the future in community intervention trial for prehypertension in high-risk groups(especially prehypertension with target organ damage in the crowd).