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颈动脉粥样硬化与冠状动脉狭窄程度的关系
引用本文:程洁,吕宝经,郑宏超,徐伟平,张亚臣.颈动脉粥样硬化与冠状动脉狭窄程度的关系[J].中国动脉硬化杂志,2004,12(1):65-68.
作者姓名:程洁  吕宝经  郑宏超  徐伟平  张亚臣
作者单位:上海第二医科大学附属新华医院心内科,上海市,200092
摘    要:探讨颈动脉粥样硬化病变的性质、程度及其与冠状动脉狭窄程度的关系。选择200例冠状动脉造影患者,并经颈动脉DSA及B超检查。根据造影结果分为冠心病组和非冠心病组(对照组)。根据冠状动脉狭窄直径,冠心病组再分成三个亚组。结果发现,颈动脉粥样硬化与冠状动脉狭窄之间呈线性正相关,颈动脉狭窄较冠状动脉狭窄发生率低,但随着冠状动脉狭窄程度加重,颈动脉粥样斑块的发生率明显增加,且颈动脉狭窄亦有加重趋势。结果提示,颈动脉粥样硬化与冠状动脉狭窄密切相关。对中年以上人群,尤其是有多种危险因素者,常规进行颈动脉超声检查,可为早期发现和筛选心脑血管疾病高危患者提供依据。

关 键 词:内科学  颈动脉粥样硬化预测冠状动脉狭窄程度  冠状动脉造影  颈动脉粥样硬化  颈动脉狭窄  冠状动脉狭窄
文章编号:1007-3949(2004)12-01-0065-04
收稿时间:2003/9/15 0:00:00
修稿时间:2003年9月15日

The Relationship between Carotid Atherosclerosis and Degrees of Coronary Artery Stenosis
CHENG Jie,LU Bao-Jing,ZHENG Hong-Chao,XU Wei-Ping,and ZHANG Ya-ChenWTBX.The Relationship between Carotid Atherosclerosis and Degrees of Coronary Artery Stenosis[J].Chinese Journal of Arteriosclerosis,2004,12(1):65-68.
Authors:CHENG Jie  LU Bao-Jing  ZHENG Hong-Chao  XU Wei-Ping  and ZHANG Ya-Chen[WTBX]
Affiliation:CHENG Jie,LU Bao-Jing,ZHENG Hong-Chao,XU Wei-Ping,and ZHANG Ya-Chen [WT6BX]
Abstract:Aim To study the relationship between carotid atherosclerosis and degrees of coronary artery stenosis. Methods 200 patients with chest pain of various reasons were examined by standard Judkins' selected coronary angiography, meanwhile, they also accepted carotid artery digital subtraction angiography and carotid artery ultrasound. According to the results of coronary angiography, all the patients were divided into two groups: coronary heart disease (CHD) group and non-CHD group (normal group). According to the diameter of coronary artery, the CHD group was divided into three subgroups again. Results Coronary artery stenosis was significantly correlated to carotid atherosclerosis. The incidence of plaques in the carotid arteries was obviously increased, aggravating with coronary artery stenosis. Carotid atherosclerosis had a linear positive correlation with coronary artery stenosis. Although the incidence of carotid artery stenosis was lower than that of coronary artery, carotid artery stenosis was aggravating with the degree exacerbation of coronary artery stenosis. Conclusions Carotid atherosclerosis is close related to coronary artery stenosis. Ultrasonography of carotid artery could be used as a routine method to detect and screen high-risk patients with cardiac and cerebral vascular disease in population of over middle aged in early stage.
Keywords:Carotid Atherosclerosis  Carotid Artery Stenosis  Coronary Artery Stenosis  Coronary Heart Disease  Coronary Angiography
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