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颈动脉粥样硬化与冠心病的相关性(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2000年第5期
页码:
355-357
栏目:
论著
出版日期:
2000-10-25

文章信息/Info

Title:
A study of correlation between carotid atherosclerosis and coronary a therosclerosis heart disease
作者:
周建生1;  高向阳1;  董广新2;  李玉杰1;  郭王宣1;  王育鸾1
西安市第一医院: 1. 老年病科, 2. 心血管病研究室, 陕西西安710002
Author(s):
ZHOU Jian-sheng;  GAO Xiang-yang;  DONG Guang-xin;  LI Yu-jie;  GUO Xuan;  WANG Yu-luan
Cardiovascular Department,First Hospital of Xi′an,Xi'an Shaanxi 710002, China
关键词:
动脉粥样硬化; 颈动脉; 冠状动脉; 超声显像
Keywords:
atherosclerosis; carotid artery; coronary artery; ultrasound
分类号:
R541.4
DOI:
-
文献标识码:
A
摘要:
目的 研究颈动脉粥样硬化(CAS)与冠心病(CHD)的相关性。方法 非脑血管病患者52例分为对照组(10例),心绞痛组(16例),心肌梗死组(26例)。冠心病依 据心电图,运动-静息99mTc-MIBI心肌显像(SPECT)诊断;颈动脉粥样硬化用多普勒超 声诊断仪检测。结 果 对照组颈动脉超声未见狭窄及粥样斑块,颈动脉内膜厚度/腔内径＜0.1。心绞痛或 心肌梗死组其中1例(2,3%)颈动脉狭窄＞50%,80%(34/42)发现颈动脉粥样斑块,颈动 脉内膜 厚度/腔内径＞0.1,收缩期颈内动脉血流速(IC)/颈总动脉血流速(CC)＞0.8,与对照组比较均有 显著差异,但心绞痛组与心肌梗死组上述指标未见显著差异。结论 颈动脉粥样 硬化与冠心病密切相关。
Abstract:
AIM To study the correlation between carotid atherosclerosis(CAS) a nd coronary atherosclerosis heart disease(CHD). METHODS Fifty two pati ents were divided into three groups:control (10 cases),angina pectoral (16 cases ) and myocardial infarction (26 cases) groups. The CHD patients were detected by ECG, 99mTc-MIBI stress-rest myocardial perfusion SPECT and the CAS patients by ultrsoun d. RESUTS In the control group,carotid ultrasound didn′t show caroti d artery stenosis and atheresclerotic plaques,and the thickness of internal membr a ne of carotid/vascular cavity distance was below 0.1. In angina pectoral and myo ca rdial inforction groups,only 1 case (2.3%) had ＞50% stenosis in carotid,carotid atherosclerotic plaques were found in 80% (34/42) of all the cases,the thinkness of internal membrane of carotid/vessel cavity distance was ＞0.1, IC/CC＞0.8. The re were signifiant difference between CHD group and contral group,but no signif i cant difference between angina pectoral group and myocardial infarction group wa s found. CONCLUSIONS There was a close correlation between carotid ath erosclerosis and CHD.

参考文献/References

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［6］ 邹艳秋,戈晓华,赵　红. 脉冲多谱勒对颈动脉粥样硬化病变的诊断意义［J］. 中华 神经精神科杂志,1991,24:370.

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备注/Memo

备注/Memo:
收稿日期：1999-09-22.
更新日期/Last Update: 2000-10-25