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冠心病患者伴颈动脉狭窄与冠脉病变严重程度相关

2013-08-07 晓静 摘编 cmt

首都医科大学附属北京安贞医院李庆祥、王梅和北京宣武中医医院张莹等分析了冠心病患者伴动脉粥样硬化性颈动脉狭窄(CAS)的临床特点及其危险因素,结果表明,冠心病患者伴发CAS与冠脉病变严重程度相关,年龄增加和脑卒中病史是CAS发生的独立危险因素。相关论文在线发表于2013年第6期《中华流行病学杂志》。 研究者选择了1339例经冠脉造影诊断为冠心病的患者,在其住院期间行颈动脉超声检查。结果显示,CAS

首都医科大学附属北京安贞医院李庆祥、王梅和北京宣武中医医院张莹等分析了冠心病患者伴动脉粥样硬化性颈动脉狭窄(CAS)的临床特点及其危险因素,结果表明,冠心病患者伴发CAS与冠脉病变严重程度相关,年龄增加和脑卒中病史是CAS发生的独立危险因素。相关论文在线发表于2013年第6期《中华流行病学杂志》。

研究者选择了1339例经冠脉造影诊断为冠心病的患者,在其住院期间行颈动脉超声检查。结果显示,CAS发生率为11.8%(158/1339).CAS组年龄、既往患脑卒中的比率高于非CAS组,差异有统计学意义(P<0.01,P=0.02).CAS的发生率随冠脉病变程度加重而增加(x2=37.482,P<0.01).冠脉左主干病变的患者其CAS发生率明显高于其他病变(x2=38.93,P<0.01).多因素logistic回归分析,只有年龄、脑卒中史、冠脉左主干病变和多支病变是CAS的独立危险因素。

论文标题:冠心病患者动脉粥样硬化性颈动脉狭窄筛查及危险因素分析

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