摘要
目的通过颈动脉内中膜厚度(IMT)的测定,探讨颈动脉粥样斑块与冠心病(CHD)的相关性。方法非脑血管病患者60例分为对照组(13例均无冠心病史),心绞痛组(20例),心肌梗死组(27例)。冠心病诊断依据心电图,运动-静息99mTc-MIBI心肌显像(SPEC)检查结果;颈动脉粥样斑块用多普勒超声诊断仪检测。结果对照组颈动脉超声未见狭窄及粥样斑块,其颈动脉内膜厚度/腔内径<0.1。心绞痛或心肌梗死组80%(38/47)发现存在颈动脉粥样斑块,颈动脉内膜厚度/腔内径>0.1,收缩期颈内动脉血流速(IC)/颈总动脉血流速(CC)>0.8,与对照组比较均有显著差异,但心绞痛组与心肌梗死组上述指标未见显著差异。结论颈动脉粥样斑块与冠心病密切相关,可能是诊断冠心病的一个较好指标。
Objective To study the relativity between carotid atheromatous plaque and coronary atheroselerotic heart disease （CHD）. Methods 60 patients were divided into three groups ： control （ 13 cases） , angina pectoral （ 20 cases） and myocardial infarction（27 cases） groups. The patients with CHD were confirmed by way of ECG and ^99mTc-MIBI stress-rest myocardiaI perfusion SPECT. The carotid theromatous plague was established by poppler ultrasound. Results In the control group,the ultrasonic examination didn＇ t show carotid artery stenosis and atheromtous plaque and the thickness of internal membrane（TIM） of carotid/vascular cavity distance was 〈0. I. In angina peeloral and rmyocardial infarction groups the carotid atberomatous plaques were found in 80% （38/47） of all the cases,the TIM of carotid/vessel eavity distance was 〉0. 1,1C/CC 〉0. 8. A significant differenee is seen between CHD group and eontrl group,but without signifieant difference between angina pectoral group and myocardial infarction group. Conclusion A close correlation existed between carotid atheromatous plaque and CHD,so the carotid atheromatous plaque might be as an effective parameter for diagnosis CHD.
出处
《实用心脑肺血管病杂志》
2005年第3期139-141,共3页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
