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对急性心肌梗死患者应用血管造影肾动脉狭窄患病率分析
引用本文:郑斌,颜红兵,程姝娟,王健,赵汉军,李庆祥,李世英,宋莉. 对急性心肌梗死患者应用血管造影肾动脉狭窄患病率分析[J]. 中国介入心脏病学杂志, 2010, 18(2). DOI: 10.3969/j.issn.1004-8812.2010.02.005
作者姓名:郑斌  颜红兵  程姝娟  王健  赵汉军  李庆祥  李世英  宋莉
作者单位:首都医科大学附属北京安贞医院28病区北京市心肺血管疾病研究所,100029
摘    要:目的 调查了解急性心肌梗死患者粥样硬化性肾动脉狭窄(ARAS)的患病率.方法 采用2008年8月至2009年3月,北京安贞医院28病区231例急性心肌梗死患者在接受冠状动脉造影时接受选择性肾动脉造影的病历资料进行分析.结果 肾动脉正常者149例,ARAS(≥50%)53例(占入选患者22.9%),单侧ARAS 36例(左、右侧各18例,共占入选患者15.6%),双侧ARAS 17例(占入选患者7.4%).经logistic回归分析,年龄、高血压、缺血性脑卒中和血清肌酐异常是ARAS预测因素,而冠状动脉病变血管支数不是ARAS预测因素.结论 部分急性心肌梗死患者同时合并ARAS;对于合并有前述预测因素者,在冠状动脉造影时有必要作肾动脉造影.

关 键 词:外周血管疾病  冠状动脉狭窄  急性心肌梗死

Prevelence of renal artery stenosis in patients with actue myocardial infarction
ZHENG Bin,YAN Hong-bing,CHENG Shu-juan,WANG Jian,ZHAO Han-jun,LI Qing-xiang,LI Shi-ying,SONG Li. Prevelence of renal artery stenosis in patients with actue myocardial infarction[J]. Chinese Journal of Interventional Cardiology, 2010, 18(2). DOI: 10.3969/j.issn.1004-8812.2010.02.005
Authors:ZHENG Bin  YAN Hong-bing  CHENG Shu-juan  WANG Jian  ZHAO Han-jun  LI Qing-xiang  LI Shi-ying  SONG Li
Affiliation:ZHENG Bin,YAN Hong-bing,CHENG Shu-juan,WANG Jian,ZHAO Han-jun,LI Qing-xiang,LI Shi-ying,SONG Li. 28th Division,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China
Abstract:Objective To determine the prevalence of atherosclerotic renal artery stenosis (ARAS) and the predictors in patients with acute myocardial infarction.Methods From August 2008 to March 2009,231 patients with acute myocardial infarction were admitted into our center.Renal artery angiography was performed in these patients.Results ARAS was found in 53 patients (22.9%),including 17 patients with bilateral ARAS.Binary logistic regression analysis identified age,hypertension,ischemic cerebral stroke and abnormal ...
Keywords:Peripheral atherosclerotic artery disease  Coronary artery stenosis  Acute myocardial infarction  
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