颈动脉_____颈动脉；_动脉粥样硬化

超声检测颈动脉粥样硬化及其与冠心病的相关性分析

http://www.100md.com 《第四军医大学学报》 2003年第6期

颈动脉,,颈动脉；,动脉粥样硬化,超声检查；,冠状动脉疾病,超声检查；,危险因素,0引言,1对象和方法,3讨论,【参考文献】

     (第四军医大学西京医院心血管内科，陕西西安 710033)

    Relationship between carotid atherosclerosis and coronary artery disease

    SHEN Min, LI LanSun, JIA GuoLiang, GUO WenYi, WANG HaiChang

    Department of Cardiovasology, Xijing Hospital, Fourth Military Medical University, Xian 710033，China

    【Abstract】AIM： To evaluate the relationship between carotid atherosclerosis and coronary artery disease (CAD) by investigating the intimiamedia thickness and plaques on carotid artery and to analyze the risk factors of CAD. METHODS： Using Bmode ultrasonography, the intimiamedia thickness of carotid artery was measured and the risk factors of CAD were analyzed in CAD group of 69 patients, who were divided into 3 subgroups ( 20 in 1vessel group, 23 in 2vessel group and 26 in 3vessel group) and 21 subjects with normal coronary arteries as control. RESULTS： The intimiamedia thickness of CAD group was significantly higher than that of the control group and no significant difference was observed among the 1, 2 and 3vessel groups. Atherosclerotic plaques were found mostly in the carotid bifurcation and common carotid artery segments. The discovery rate of atherosclerotic plaques was higher in 2 and 3vessel groups. The content of TC and LDLC, and the incidence of hypertension and diabetes mellitus were higher in the CAD group. CONCLUSION： CAD is positively associated with the severity of atherosclerosis in carotid artery. Risk factors of CAD can be predicted by carotid ultrasound imagining. ......

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