Objective:To study the relationship between carotid atherosclerosis, aortic valve calcification (AVC) and
atherosclerotic renal artery stenosis (ARAS).Methods:162 cases of patients with chest pain, who underwent renoarteriography, were
selected and divided into ARAS group (29) and control group (133) according to the angiographic results. The age, gender, history of
smoking, hypertension, diabetes, hyperlipidemia and coronary heard disease were recorded and compared between two groups. The total
cholesterol(TC), triglyceride(TG), Low-density lipoprotein(LDL-C), high-density lipoprotein (HDL-C) levels of patients were measured,
and the carotid artery intima-media thickness (CIMT), carotid atherosclerosis and aortic valve calcification (AVC) were investigated by
carotid ultrasonography and echocardiogram.Results:The constituent ratio of hypertension history, TC, CIMT, incidence of carotid
atherosclerosis and AVC were significantly higher in the patients of ARAS group than those of the control group. The sensitiviy,
speciality of carotid atherosclerosis for predicting the ARAS were 72.24%, 56.39%, and the sensitiviy, speciality of AVC were 44.83%,
74.45%. The sensitiviy, speciality of combination of carotid atherosclerosis and AVC were 41.38%, 76.69% .Conclusion:Carotid
atherosclerosis and AVC were useful for the diagnosis of ARAS, which could be used to exclude the ARAS. |