颈动脉粥样硬化对冠心病冠状动脉病变程度的预测研究

被引：7

作者：

赵继先

袁良俊

刘继军

张焕鑫

机构：

[1] 十堰市人民医院心内科

来源：

临床荟萃 | 2006年 / 23期

关键词：

冠状动脉疾病; 动脉硬化; 冠状血管造影; 超声检查,多普勒;

D O I：

暂无

中图分类号：

R541.4 [冠状动脉（粥样）硬化性心脏病（冠心病）];

学科分类号：

摘要：

目的应用颈动脉超声检测颈动脉粥样硬化预测冠状动脉病变严重程度的价值。方法经冠状动脉造影将359例患者分成冠心病组和非冠心病组,再根据冠状动脉病变把冠心病组患者分为单支病变组、双支病变组和多支病变组。颈动脉超声检测颈动脉病变并采用硬化斑块指数表示。结果冠心病组的斑块检出率、斑块指数(PI)明显高于非冠心病组分别为75.76%vs 26.83%;2.26±1.24 vs 0.96±0.98(P<0.01)。且随着斑块检出率、斑块指数升高,冠状动脉病变范围和程度加重。颈动脉超声对冠心病诊断符合率为77.9%。结论颈动脉粥样硬化对冠状动脉粥样硬化程度有明显的预测价值,颈动脉粥样硬化程度是冠状动脉病变严重程度的重要预测因素。

引用

页码：1708 / 1710

页数：3

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