颈动脉彩超预测冠心病与冠状动脉造影的关系探讨

目的探讨超声检测颈动脉粥样斑块对冠心病的预测价值。方法对98例有冠心病多种危险因素的患者常规行颈动脉超声检查及同期行冠状动脉造影,评价超声检测颈动脉粥样斑块对冠心病的预测价值。结果 98例患者中,颈动脉超声检出粥样斑块57例,其中40例冠状动脉造影提示冠状动脉粥样硬化性心脏病,6例提示冠状动脉粥样硬化,11例冠状动脉造影正常;41例颈动脉内膜增厚,无粥样斑块,其中19例冠状动脉造影正常,5例提示冠状动脉粥样硬化,17例冠状动脉粥样硬化性心脏病。结论超声检测颈动脉粥样斑块对冠心病有一定的预测价值。

Carotid artery color Doppler ultrasound in prediction of coronary heart disease and the relationship with coronary angiography

Objective To study the ultrasonic detection of carotid artery atherosclerotic plaque predictive value for coronary artery disease.Methods Coronary heart disease risk factors in 98 patients underwent carotid ultrasonography and coronary artery angiography,on carotid atherosclerotic plaques examined the predictive value of assessment.Results Among 98 patients,carotid ultrasound detected in atherosclerotic plaques in 57 cases,including 40 cases of coronary angiography prompted coronary atherosclerotic heart disease,6 cases of prompt coronary atherosclerosis,11 cases of angiographically normal coronary arteries;Among 41 patients with carotid intimal thickening,atherosclerotic plaques,19 cases of angiographically normal coronary arteries,5 cases of prompt coronary atherosclerosis,17 cases of coronary atherosclerotic heart disease.Conclusion Ultrasound detection of carotid artery atherosclerotic plaque in coronary heart disease have some predictive value.