文章摘要
廖庆林 王沛华 李晓利 董哲 王焱.解放军第309 医院第一分院内科[J].,2014,14(30):5934-5936
解放军第309 医院第一分院内科
The Predictive Value of Ankle-Brachial Index in CoronaryArtery Calcification
  
DOI:
中文关键词: 踝臂指数  血管内超声虚拟组织学  冠状动脉钙化
英文关键词: Ankle-Brachial Index (ABI)  Ultrasound-Virtual Histology(IVUS-VH)  Coronary Artery Calcification
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廖庆林 王沛华 李晓利 董哲 王焱 解放军第309 医院第一分院内科 
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中文摘要:
      目的:冠状动脉钙化在介入治疗中经常能碰到并且能影响治疗的效果。踝臂指数(ABI)是一种简单易行的无创检查,可作为 判断下肢周围动脉疾病(PAD)的良好的无创指标,而且可以预测心血管事件。本课题主要探讨踝臂指数(ABI)对冠状动脉钙化病 变的预测价值。方法:100 例确诊为冠心病的患者,其中男性70 例,女性30 例,对所有患者测量ABI及常规生化检查,再行血管 内超声虚拟组织学(IVUS-VH)测量冠脉钙化,将冠脉钙化分为三组,比较组间ABI 差异,再分析ABI 与冠状动脉钙化的相关性。 结果:按照不同冠脉钙化分组ABI有显著性差异(P<0.05),ABI>1.3与冠状动脉钙化存在相关性。结论:ABI>1.3 对冠状动脉钙化 病变的严重程度有预测价值;ABI与冠状动脉钙化病变呈相关性,可作为对冠心病患者危险分层评估的一项指标。
英文摘要:
      Objective:Coronary artery calcification was very common in percutaneous coronary intervention and affected the result of treatment. Ankle-brachial index as a non-invasive detection was simple and easy, thus could be a good indicator for judging lower extremity peripheral arterial disease, and could predict cardiovascular event. This article mainly assessed the predictive value of ankle-brachial index in coronary artery calcification.Methods:A total of 100 patients (70 males and 30 females) ranging from 35 to 79 years of age with CHD in a clinical practice were enrolled. Patients were detected by ankle-brachial index (ABI) and ultrasound-virtual histology (IVUS-VH). They were divided into 3 groups according to coronary artery calcification, then compared the ABI among different groups and coronary artery calcification was analyzed.Results:There were significant differences among the groups in ABI (P<0.05). ABI>1.3 had correlated to coronary artery calcification.Conclusion:ABI>1.3 has predictive value in coronary artery calcification. The coronary artery calcification is related to ABI, and can be used as a predictor of risk stratification of coronary artery disease.
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