关注下肢动脉疾病

周围动脉疾病特别是下肢动脉疾病是常见的动脉粥样硬化疾病,是全身动脉硬化疾病的重要组成部分,它是冠心病、心肌梗死、脑卒中等是同一疾病的不同表现。与冠心病相似,下肢动脉疾病亦是一种进行性动脉粥样硬化,是由于动脉硬化、狭窄及动脉腔内斑块形成(脂质沉着)。它     

下肢动脉疾病诊疗的专家共识

下肢动脉疾病可有多种临床表现,且截肢和死亡的风险增加,致使患者生活质量下降。同时,动脉粥样硬化是一种全身性疾病,下肢动脉疾病患者同时也可能存在心脏和脑血管的动脉粥样硬化。有明确的证据证实,下肢动脉疾病患者心血管事件的风险增加,如心肌梗死(MI)和缺血性脑卒中。多项指南将包含下肢动脉疾病在内的周围动脉疾病定义为冠心病的等危症,血脂异常和血压控制的治疗目标等同于冠心病患者。已有研究表明,识别下肢动脉疾病并给予强化治疗能够显著改善预后。1病因和流行病学下肢动脉疾病的主要病因是动脉粥样硬化。吸烟、糖尿病、血脂异常、…     

下肢动脉疾病的诊断

最近的数据表明几乎 3 0 %的患者为外周动脉疾病的高危人群 ,因此外周动脉疾病 (PAD)持续上升。全面地评估临床情况 ,精确的非介入性检查是病人治疗成功的保证。目前可以接受的诊断外周动脉疾病的方法包括 :询问病史及危险因素 ,体格检查 ,非介入性检查包括 :超声多普勒、核磁共振及X线数字减影。1　非介入性血管检查 :1.1　踝臂指数 (ABI) :这项检查简单、无痛苦、可重复性高。在诊室内即可以完成。将踝部或胫后部血压中较高部位的血压与双臂血压中较高一侧的血压值相比。通常 ,ABI≥ 0 .9正常 ;>0 .4～≤ 0 .9提示轻到中度PAD ,≤ 0…     

辽宁省心肺血管疾病进展专题讲座在鞍山举行

<正> 受辽宁省心血管病人群监测协作组的委托,由鞍钢铁西医院心血管病防治研究室主办的“心肺血管疾病进展”专题讲座于八月十五日至廿六日在鞍山空一师举行。来自黑龙江、吉林、辽宁三省及全国冶金系统从事心血管病专科防治的医生、主治医生120余名参加了学习。应主办单位的邀请,北京心肺血管医疗研究中心流研室洪昭光主任、北京医院胡启邦付主任医师、中国医大冯荣光、金春和、于润江、张文翠等教授,就心脑血管病流行病学、高血压、冠     

下肢动脉疾病抗栓治疗研究进展

下肢动脉粥样硬化性疾病（下肢动脉疾病）系指下肢动脉由于粥样硬化病变引起管腔进行性狭窄或闭塞所致的缺血性症候群,主要临床表现为间歇性跛行、急性肢体缺血,其首要致死原因为心肌梗死（MI）和脑卒中[1]。因此,对下肢动脉疾病患者应当进行积极的抗栓治疗,以预防血管事件和降低病死率[2]。     

维生素K与外周动脉疾病的关系

正膳食摄入高水平维生素K1(叶绿醌)和维生素K2(甲基萘醌类)被认为可通过降低血管钙化,从而降低心血管病发生风险。该研究目的是探讨叶绿醌和甲基萘醌类摄入与外周动脉疾病(peripheral arterial disease,PAD)风险的关系。方法:前瞻性队列分析受试者36 629人的资料。通过链接国家登记资料获取PAD发生情况。应用经过验证的食物频率问卷评估     

心血管病防治知识

正中国标准刊号:CN44-1581/R国际标准刊号:ISSN1672-3015定价:10.00元学术指导:中华医学会心血管病学会卫生部心血管病防治研究中心主管:广东省科学技术协会主办:广东省介入性心脏病学会广东省岭南心血管病研究所《心血管病防治知识》学术版杂志是由国家新闻出版总署批准,中华人民共和国卫生部、中国科学技术协会、中华医学会心血管病学会、卫生部心血管病防治研究中心指导,广东省科学技术协会主管,广东省岭南心血管病研究所,     

《中国心血管健康与疾病报告2020》正式出版

正由国家心血管病中心编写的《中国心血管健康与疾病报告2020》已于2021年4月由科学出版社出版发行。随着社会经济的发展,国民生活方式的变化,尤其是人口老龄化及城镇化进程的加速,居民不健康生活方式日益突出,心血管病危险因素对居民健康的影响越加显著,心血管病发病率仍持续增高。目前,中国心血管病死亡占城乡居民总死亡原因的首位,农村为46.66%,城市为43.81%,心血管病给居民和社会带来的经济负担日渐加重。为响应"健康中国行动",     

心血管病防治知识

正中国标准刊号:CN44-1581/R国际标准刊号:ISSN1672-3015邮发代号:46-192定价:8.00元学术指导:中华医学会心血管病学会卫生部心血管病防治研究中心主管:广东省科学技术协会主办:广东省介入性心脏病学会广东省岭南心血管病研究所《心血管病防治知识》学术版杂志是由国家新闻出版总署批准,中华人民共和国卫生部、中国科学技术协会、中华医学会心血管病学会、卫生部心血管病防治研究中心指导,广东省科学技术协会主管,广东省岭南心血管病研究所,     

心血管病防治知识

正中国标准刊号:CN44-1581/R国际标准刊号:ISSN1672-3015邮发代号:46-192定价:8.00元学术指导:中华医学会心血管病学会卫生部心血管病防治研究中心主管:广东省科学技术协会主办:广东省介入性心脏病学会广东省岭南心血管病研究所《心血管病防治知识》学术版杂志是由国家新闻出版总署批准,中华人民共和国卫生部、中国科学技术协会、中华医学会心血管病学会、卫生部心血管病防治研究中心指导,广东省科学技术协会主管,广东省岭南心血管病研究所,     

Resting ankle-arm pressure index in vascular diseases of the lower extremities

The authors calculated 442 values of resting ankle-arm indices in 222 patients, of whom 114 reported exercise pain of the lower extremities (51.3%) and 34 reported rest pain (15.3%). Tissue necrosis was diagnosed in 55 patients (24.8%) and other disorders in 19 (8.6%). Obliterating atherosclerosis was found in 186 patients (83.8%), Buerger's disease in 16 (7.2%), and other vascular diseases in 20 patients (9%). The studied index value in 262 examined lower extremities was 1.3-1.0 in 54, 0.9-0.8 in 29, 0.7-0.6 in 66, 0.5-0.4 in 55, and 0.3-0.0 in 58 lower extremities. Respective values for contralateral lower extremities (180) were the following: 69, 54, 33, 14, and 10.     

Myoglobin level in patients with occlusive diseases of the lower extremities

Serum myoglobin (MG) concentration was measured in 25 patients with obliterating atherosclerosis of the aorta and main arteries of the lower extremities and in 30 normal subjects. Serum MG levels were also measured repeatedly following aortofemoral bifurcation shunting. An original one-step enzyme (immunoassay technique was used to determine serum MG concentration. Serum MG was increased in patients with obliterating diseases of the lower extremities. There was marked myoglobinemia, reaching its peak within 8 to 10 hours after the reconstructive operations on the aorto-iliac segments.     

Renal artery dissection after angiographic evaluation of lower extremities.

We describe a case of renovascular hypertension that was caused by renal artery dissection after an angiographic evaluation of the lower extremities. Retention of contrast medium in the affected kidney even 1 day after the procedure caused us to suspect renal artery dissection. Magnetic resonance angiography revealed irregular streaks in the lumen of the affected artery, a sign of dissection. Treatment by a transluminal angioplasty with stent insertion improved renal function and reduced systemic blood pressure with normalization of plasma renin activity. In patients whose systemic blood pressure increases suddenly after any conceivable physical traction on the abdominal aorta, evaluation of the renal arteries should be considered. Appropriate endovascular treatment can preserve renal function and reduce systemic blood pressure.     

Current therapy of chronic arterial occlusive diseases of the lower extremities

Angiologists, vascular surgeons, and angiographers inform about the actual state of the therapy of the arterial occlusive diseases of the legs. The degree I of therapy comprises the conservative treatment for the improvement of the macrocirculation and the normalisation of the disturbed microcirculation, taking into particular consideration the therapy with antiviscositant drugs. The main chapter ends with the possibilities of the influence on the arteriosclerotic vascular processes as well as with the necessary rehabilitative measures. In the paragraph about the degree II of therapy the indications, contraindications, methods and results of the isolated and combined percutaneous transluminal angioplasty, the systemic and local fibrinolysis as well as the reconstructive vascular operations are represented.     

Frequency of malignant diseases in deep venous thrombosis of the lower extremities.

A retrospective investigation was carried out in a total of 200 patients (100 women, 100 men) with an average age of 61.0 years (19-97 years) with a phlebographically verified deep vein thrombosis of the lower limbs. It was examined whether and how frequently acute phlebothromboses are associated with a malignant underlying disease not detected up to that time. Specific diagnostics showed that a malignancy could be detected in 11.5% of all patients. As expected, the number of freshly discovered malignant diseases rose with increasing age. Seventy-one percent of all patients with a phlebothrombosis and a simultaneous tumor condition were more than 60 years old. The results clearly show that screening for occult malignant diseases should be carried out systematically and routinely in patients with etiologically unclear acute deep vein thromboses, at least from the 50th year of life onwards.