超声探查颈动脉粥样硬化指标在冠心病诊疗方面的研究进展

近年来,冠心病在我国发病率及死亡率持续上升,严重威胁国民生命健康。冠状动脉和颈动脉粥样硬化机制相似,已有大量研究肯定了颈动脉内中膜厚度及颈动脉斑块在冠心病诊断及未来心血管事件预测方面的能力。超声是探查颈动脉状况的常用无创工具,可经济、快速地提供颈动脉粥样硬化指标。且近年来随着超声技术的发展,可探查的相关指标也更为全面,关于这些指标与冠心病关系的研究也更加深入。本文拟就超声探查的颈动脉粥样硬化指标在冠心病诊断及心血管风险评估方面的研究进展进行综述。

Progress in research of ultrasonic indicators for carotid atherosclerosis in diagnosis and treatment of coronary disease

Recently, the morbidity and mortality of coronary heart disease have been persistently increasing in China, posing a threat to the health and lives of people. Coronary artery and carotid artery share a similar atherosclerotic mechanism. A myriad of studies have confirmed the significance of carotid intima-media thickness and plaque in the diagnosis of coronary heart disease and the prediction of cardiovascular events. Ultrasound is a common non-invasive tool for detecting the condition of carotid artery. It can provide carotid atherosclerosis-related indicators economically and quickly. With more comprehensive exploitable indicators, studies on the relationship between these indicators and coronary heart disease go further. This article reviews the recent research progress on carotid atherosclerotic indicators detected by ultrasound in the diagnosis of coronary heart disease and the risk assessment of cardiovascular disease.