| 颈动脉内-中膜厚度及纤维蛋白原检测在急性冠脉综合征诊断中的价值 |
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| 引用本文： | 杨巧林,王晋军. 颈动脉内-中膜厚度及纤维蛋白原检测在急性冠脉综合征诊断中的价值[J]. 中西医结合心脑血管病杂志, 2011, 9(3) |
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| 作者姓名： | 杨巧林 王晋军 |
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| 作者单位： | 1. 山西医科大学,030001
2. 山西省心血管病医院,030001 |
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| 摘 要： | 目的研究超声检测颈动脉内-中膜厚度(IMT)、粥样斑块形成及血浆纤维蛋白原预测急性冠脉综合征(ACS)的临床价值。方法在我院接受冠状动脉造影检查者108例,经冠状动脉造影确诊冠心病患者75例,分为急性心肌梗死组(AMI)、不稳定型心绞痛组(UA)、慢性稳定型心绞痛组(CAD)。对照组33例。采用超声检测颈动脉粥样硬化程度。结果颈动脉IMT≥0.9 mm及斑块形成或者血浆纤维蛋白原(Fb)与急性心肌梗死的发生正相关,OR值及其9 5%CI分别为3.5 8 6(1.1 4 8~1 1.2 0 2),4.0 0 5(1.242~12.909),2.851(1.006~8.080),P<0.05。颈动脉斑块负荷与冠脉血管病变支数呈正相关(r=0.194,P<0.05)。结论矫正年龄、性别、血糖、血脂等危险因素影响后,颈动脉IMT≥0.9 mm及斑块形成或者血浆Fb仍然是急性心肌梗死发生的危险因素,通过颈动脉粥样硬化程度可预测ACS及其冠状动脉病变严重程度。
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| 关 键 词： | 颈动脉粥样硬化 超声检测 颈动脉内膜-中膜厚度 急性冠脉综合征 |
Prediction of Acute Coronary Syndrome with Carotid Atherosclerosis and Fibrinogen |
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| Yang Qiaolin,Wang Jinjun. Prediction of Acute Coronary Syndrome with Carotid Atherosclerosis and Fibrinogen[J]. Chinese Journal of Integrative Medicine on Cardio-/Cerebrovascular Disease, 2011, 9(3) |
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| Authors: | Yang Qiaolin Wang Jinjun |
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| Affiliation: | Yang Qiaolin,Wang Jinjun Department of Cardiology,Shanxi Province Cardiovascular Hospital(Taiyuan 030001) |
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| Abstract: | Objective To investigate the prediction of acute coronary syndrome with carotid artery intima-media thickness(IMT),plaque and plasma fibrinogen.Methods The coronary angiography measurement was performed in 73 patients(pts) with coronary hear disease(CHD) and 35 normal controls.Pts with CHD were divided into acute myocardial infarction(AMI) group,unstable angina(UA) group,and chronic angina(CA) group.IMT and arteriosclerotic plaques in carotid arteries were evaluated with B-mode ultrasonography in all subjec... |
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| Keywords: | carotid atherosclerosis ultrasound carotid intima-media acute coronary syndrome |
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