文档介绍:超声检测颈动脉粥样硬化及其与冠心病的相关性分析
作者:沈敏,李兰荪, 贾国良,郭文怡,王海昌
【关键词】颈动脉
【Abstract】AIM: To evaluate the relationship between carotid atherosclerosis and coronary artery disease (CAD) by investigating the intimiamedia thickness and plaques on carotid artery and to analyze the risk factors of CAD. METHODS: Using Bmode ultrasonography, the intimiamedia 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 1vessel group, 23 in 2vessel group and 26 in 3vessel group) and 21 subjects with normal coronary arteries as control. RESULTS: The intimiamedia thickness of CAD group was significantly higher than that of the control group and no significant difference was observed among the 1, 2 and 3vessel groups. Atherosclerotic plaques were found mostly in the carotid bifurcation mon carotid artery segments. The discovery rate of atherosclerotic plaques was higher in 2 and 3vessel groups. The content of TC and LDLC, 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.
【Keywords】 carotid arteries; atherosclerosis/ultrasonography; coronary disease/ultrasonography; risk factors
【摘要】目的: 通过对颈动脉内中膜厚度(IMT)及颈