摘要: |
[摘要] 目的 探讨急性冠脉综合征(ACS)患者中臂踝脉搏波传播速度(brachial ankle pulse wave velocity Ba-PWV)水平与冠心病危险因素和冠状动脉狭窄程度的相关性。方法 将74例ACS患者分为Ba-PWV<1400 cm/s组(20例)和Ba-PWV>1400 cm/s组(54例)。分析2组中年龄、性别、高血压、高脂血症、糖尿病、吸烟等冠心病危险因素以及冠脉血管狭窄程度。结果 (1)Ba-PWV>1400 cm/s组患者的危险因素明显多于Ba-PWV<1400 cm/s组(P<0.05), 其中≥2个危险因素的患者在Ba-PWV>1400 cm/s组中高达96.3%(P<0.01);(2)Ba-PWV>1400 cm/s组冠脉狭窄程度与Ba-PWV<1400 cm/s组比较差异无统计学意义。结论 发生ACS时, Ba-PWV大的ACS患者其危险因素多于Ba-PWV小者, Ba-PWV与相关冠脉狭窄严重程度不相关。 |
关键词: 急性冠脉综合征 肱动脉-踝动脉脉搏波传播速度 冠状动脉造影 危险因素 |
DOI: |
分类号:R 543.3 |
基金项目: |
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Relationship between the brachial ankle pulse wave velocity and the stricture of coronary artery in acute coronary syndrome |
ZHANG Xiao-dong, LI yi, LI Jian-mei, et al.
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Department of Cardiology, Forth Affiliated Hospital of Kunming Medical College, Kunming 650021, China;Forth Affiliated Hospital of Kunming Medical College, Kunming 650011, China
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Abstract: |
[Abstract] Objective To explore the relationship between the brachial ankle pulse wave velocity (Ba-PWV)level and high risk factors of coronary heart disease and stricture of coronary artery in acute coronary syndrome(ACS).Methods Seventy four cases of ACS were divided into two groups: twenty cases with Ba-PWV<1400cm/s and fifty four cases with Ba-PWV>1400 cm/s. Risk factors of coronary heart disease were analyzed such as age, gender, hypertension, hyperlipidemia, diabetes mellitus and smoking and stricture of coronary artery in two groups. Results (1)In group with Ba-PWV>1400cm/s, the risk factors of coronary heart disease was more than that in group with Ba-PWV<1400cm/s, P<0.05, the risk factors were no less than two in 96.3% of cases, P<0.01.(2)There was no statistics difference in the stricture degree of coronary artery between two groups.Conclusion The risk factors in the cases with high Ba-PWV levels are more than those in the cases with low Ba-PWV level in ACS. There was no relativity between the Ba-PWV and the stricture degree of corresponding coronary arteries in ACS. |
Key words: Acute coronary syndrome Brachial ankle pulse wave velocity Coronary artery radiography Risk factors |