1、_Svv$L_SQEl# _qNO_gq2 gOmw _c/NK ez_ N mwY_bN mw 200235 N-W A case study of malignant pericardial mesothelioma with gas pericardiography XU Dongjin,DU Xiuhai,GE Xiaowei,XU Zhenzhi,FANG Lide.Shanghai Yodak Cardiac-Thoracic Hospital(Shanghai,200235,China) Internat J Cardiovasc Med,2009,10(1):83841. e1
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7、l .Sv|_Svv$W Qg 30tesX1S: 23OTRg . :l ,1992,5(3):113-1143 Thomason R,Schlegel W,Lucca M,Cummings S,Lee S.Primary mali- gnant mesothelioma of the pericardium. Case report and literature review.Tex Heart Inst J,1994,21(2):170-174. (e6z? 2008.11.20OV 2009.1.5cS 2009.1.14)T1mP UIy0N0NN zTf z N8W(Qsur_ 2
8、P g 2tkN0 g,Ou(bKSRdvv$sr_bR * 1tq!_v| Sv|sueSuPg vRMNW(*N-0t|?uNvRaKXn,TQhVkNsAmbulatory Blood Pressure Monitoring and All-Cause Mortality in Elderly People With Diabetes Mellitus In a multiethnic cohort of older people with diabetes (n=1178), we assessed whether ambulatory blood pressure (BP) moni
9、toring improves prediction of all-cause mortality and cardiovascular mortality when added to baseline covariates, in-cluding office BP and heart rate (HR). Secondary analyses assessed whether albuminuria may mediate the association of pulse pressure with mortality. The ambulatory arterial stiffness
10、index was calculated as “1-slope“ from the within-person regression of diastolic-on-systolic ambulatory BP readings. Mean follow-up was 6.60.4 years. There were 287 deaths; death certificates were available for 215 deaths (75%), and 110 of them were deemed of car-diovascular cause.Cox models were bu
11、ilt incrementally. First, models using clinical and laboratory variables selected albuminuria and office HRs as inde-pendent predictors of all-cause and cardiovascular mortality. When ambulatory monitoring data were added, sleep: wake HR ratio and ambulatory arterial stiffness index added significan
12、tly to the prediction of all-cause mortality, but only sleep:wake HR ratio added to the prediction of cardiovascular mortality. Office HR and albuminuria retained significance as pre-dictors of both types of mortality. Secondary analyses without adjustment for albuminuria confirmed the predictive va
13、lue of office HR and sleep/wake HR, whereas 24-hour pulse pressure and sleep systolic BP were also independently predictive of all-cause and cardiovascular mortality, respectively. In conclusion, office HR and albuminuria were strong predictors of mortality.Ambulatory monitoring improved the prediction of risk through its assessment of sleep HR dipping and of ambu-latory arterial stiffness index, a measure of the dynamic relationship between systolic and diastolic BPs. Albuminuria may mediate the association between BP and mortality. Hypertension. 2009,53:120-127
