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|本期目录/Table of Contents|

老年肾动脉狭窄与冠状动脉病变的关系及其相关因素(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2009年第4期
页码:
523-524
栏目:
临床研究
出版日期:
2009-06-25

文章信息/Info

Title:
Correlation between renal artery stenosis and coronary artery disease in elderly patients
作者:
殷亚昕; 夏云峰; 刘润梅; 翟红霞; 李良; 张津津; 陈海威
解放军总医院第一附属医院干一科,北京 100037
Author(s):
YIN Ya-xin;  XIA Yun-feng;  LIU Run-mei;  ZHAI Hong-xia;  LI Liang;  ZHANG Jin-jin;  CHEN Hai-wei
First Ward for High-ranking Officers, First Affiliated Hospital, General Hospital of PLA, Beijing 100037, China
关键词:
老年; 冠状动脉造影; 肾动脉狭窄
Keywords:
elderly;  coronary artery angiography;  renal artery stenosis
分类号:
R692;R543.3
DOI:
-
文献标识码:
A
摘要:
目的 在冠状动脉造影（CAG）的老年患者中观察并发肾动脉狭窄(RAS)的发生率，并分析并发RAS的影响因素。方法 CAG同时行肾动脉造影（RAG）患者277例，分析动脉粥样硬化的危险因素与RAS发生的关系。结果 经CAG证实冠心病患者212例，RAS发生率19%，CAG正常患者RAS发生率8%，冠脉多支病变组中RAS发生率明显高于单支病变组及冠状动脉正常组（P<0.01），多因素分析，独立预测因子为冠状动脉病变程度（OR=1.89,95%可信区间：1.35-2.65，P<0.01）。结论 冠心病患者有较高RAS发生率，发现冠状动脉多支病变患者应常规行RAG检查。
Abstract:
AIM: To investigate incidental renal artery stenosis (RAS) in elderly patients under coronary artery angiography and to analyze the risk factors of RAS. METHODS: Renal artery angiography (RA) was performed in 277 patients following coronary angiography to screen for the presence of RAS in order to study the relationship between coronary artery disease (CAD) and RAS. RESULTS: The incidence of RAS was 19% (41/212) in patients with CAD who had been confirmed by coronary artery angiography. Five patients with RAS were found in 65 patients whose coronary arteries were normal (8%, 5/65). RAS incidence was higher in multivessel CAD than single-vessel disease (P<0.01). In multivariate analysis, the severity of CAD (OR=1.89, 95% CI: 1.35-2.65, P<0.01) was independently correlated with RAS. CONCLUSION: RAS incidence is higher in patients with CAD. RA should be performed routinely after patients have been identified with multivessel CAD by coronary artery angiography.

参考文献/References

［1］ Herrera AH, Lowenthal DT.Hypertentions and ischemic nephropathy and its association with renal failure in the elderly［J］. Geriater Nephrol Urol, 1997, 7（3）:167-170.

［2］ Jean WJ, Al-Bitar I, Zwicke DL, et al. Hight incidence of renal artery stenosis in patients with coronary artery disease［J］. Cathet Cardiaovasc Diagn, 1994, 32（1）:8-10.

［3］ Saleh AA, Bustami BB.Prevalence of renal artery stenosis in patients undergoing routine cardic catheterization［J］. Saudi Med J, 2004, 25(1):52-54.

［4］ 周文成,周红,王锦,等. 冠状动脉粥样硬化与肾动脉狭窄关系研究［J］. 临床荟萃, 2006, 21（7）：468-471.

［5］ 董玉梅，李学奇. 高血压病对冠状动脉病变的影响［J］. 心脏杂志, 2006, 18(2):222-224.

［6］ 夏云峰,罗北捷,刘润梅,等. 老年急性心肌梗死并发Ⅱ型糖尿病患者临床及冠脉造影的分析［J］. 心脏杂志, 2004, 16（2）:156-157.

［7］ Ravichandran R, Rengarajan T, Reddy KN, et al. Prevalence of renovascular abnomality in patients undergoing cardiac catheterization［J］. J Assoc Physicians India, 2003, 51:175-177.

备注/Memo

备注/Memo:
收稿日期：2007-12-18.通讯作者：夏云峰，主任医师，主要从事冠心病的介入治疗的研究Email：xiayf3961@sina.com 作者简介：殷亚昕，主治医师，硕士生Email：yyxing198@sina.com
更新日期/Last Update: 2009-06-15