原发性高血压(EH)不仅导致左室肥厚(LVH) ,同时可致心室重塑,目前认为LVH与左室向心性重塑均是心血管危险性增加的独立预测因素〔1〕。对EH患者LVH的发生机制研究较为深入,传统观点认为高压力负荷是导致LVH的主要原因,现有研究表明EH伴随的代谢异常也在其中起作用〔2〕。EH左室 Essential hypertension (EH) not only leads to left ventricular hypertrophy (LVH), can also cause ventricular remodeling, LVH and left ventricular remodeling are now considered are independent predictors of increased cardiovascular risk 〔1〕. The pathogenesis of LVH in EH patients is more in-depth study, the traditional view that high pressure load is the main cause of LVH, existing studies have shown that accompanied by EH metabolic abnormalities also play a role [2]. EH left ventricle