左室肥厚对预后有重大不良影响。室性心律失常为预后不良的重要原因,然而冠脉病变所起作用尚未排除。本文试析之。方法 49例冠脉造影正常或者管腔轻度狭窄(<25％)但左室射血分数正常的高血压患者,不改变原用药物,禁用抗心律失常药物(β受体阻滞剂例外)、镇静剂或抗精神病药物。用超声心动图测定舒张末期左室内径、室间隔和左室后壁厚度。左室肥厚的标准为:室间隔或左室后壁的厚度≥1.2cm;左室重量/身高之比≥1639g/m(男性)或121g Left ventricular hypertrophy has a significant adverse prognosis. Ventricular arrhythmia is an important cause of poor prognosis, however, the role of coronary lesions has not been ruled out. This article analyzes. Methods 49 patients with normal coronary angiography or mild stenosis (<25%) but normal left ventricular ejection fraction (LVEF) were given no anti-arrhythmic drugs (except β blockers) Sedatives or antipsychotics. The left ventricular end diastolic dimension, interventricular septum and left ventricular posterior wall thickness were measured by echocardiography. Left ventricular hypertrophy criteria were: septal or left ventricular posterior wall thickness ≥1.2cm; left ventricular mass / height ratio ≥1639g / m (male) or 121g