Exploring the Diagnostic Value of Blood Tests Combined with Electrocardiogram and 24- Hour Ambulatory Blood Pressure Monitoring in Primary Hypertension with Myocardial Ischemia

Yana Gao, Lang Liu

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¹ School of Clinical Medicine, Xianning Medical College, Hubei University of Science and Technology, Xianning 437000, Hubei, China,

² The Second Affiliated Hospital of Hubei University of Science and Technology, Xianning 437000, Hubei, China,

CR 2025 , 3(2), 49–56; https://doi.org/10.26689/cr.v3i2.11082

© 2025 by the Authors. Licensee Whioce Publishing, Singapore. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )

Abstract

Objective: To evaluate the diagnostic value of blood tests combined with dynamic electrocardiogram (DCG) and 24-hour ambulatory blood pressure monitoring (ABPM) for patients with primary hypertension and myocardial ischemia. Methods: 55 patients with primary hypertension and myocardial ischemia who visited our hospital from September 2021 to September 2023 were included in Group A, and 55 healthy individuals who underwent physical examination during the same period were included in Group B. Both groups received blood tests, DCG, and ABPM for diagnosis. Results: The blood test indicators, diurnal and nocturnal blood pressure, diurnal and nocturnal heart rate, ST segment depression duration, and ST segment depression were all higher in Group A than in Group B (P < 0.05). Conclusion: The combination of blood tests, DCG, and ABPM can be used to diagnose primary hypertension with myocardial ischemia. Changes in blood indicators, blood pressure, and electrocardiogram indicators can provide insights into the condition of hypertension with myocardial ischemia, guiding clinical diagnosis.

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