急性冠脉综合征和稳定性心绞痛患者ba PWV的差异性分析

Analysis of Brachial-Ankle Pulse Wave Velocity differences between Patients with Acute Coronary Syndrome and Stable Angina Pectoris

目的:分析急性冠脉综合征(ACS)和稳定性心绞痛(SAP)患者的踝臂脉搏波传导速度(ba PWV)的差异性,探讨ba PWV对两者诊断的意义。方法:以收治的166例行冠脉造影的患者为研究对象。分为ACS组、SAP组及对照组。对三组患者的性别、年龄、既往史、血糖、血脂、BMI、ba PWV等数据进行统计分析。结果:三组间性别比、BMI、既往史、血脂、血糖的差异无统计学意义(P>0.05)。ACS组的年龄小于SAP组和对照组,ba PWV三组间SAP组高于ACS组,且在≤80岁的各年龄组中SAP组的ba PWV均高于ACS组,差异有统计学意义(P<0.05)。结论:ba PWV可以有效评估全身血管僵硬度,指导早期进行冠状动脉造影检测,预测SAP患者的疾病进展,对监测CHD患者治疗后的疗效有重要意义。

Objective：To analyze the difference of brachial pulse wave velocity（baPWV） in patients with acute coronary syndrome（ACS） and stable angina pectoris（SAP）, explore the significance of pulse wave velocity in the brachial approach. Method：166 patients undergoing coronary angiography who were admitted were studied and divided into ACS group, SAP group and control group. Statistical analysis was performed on the data of gender, age, past history, blood glucose, blood lipids, BMI, and pulse wave velocity（baPWV） in the three groups.Results：There was no significant difference in gender ratio, BMI, past history, blood lipids, and blood glucose among the three groups（P〈0.05）. The age of ACS group was less than that of SAP group and control group. The baPWV group had higher SAP group than ACS group, and the baPWV of SAP group was high in all age groups≤ 80 years old. In the ACS group, the difference was statistically significant（P〈0.05）.Conclusions：The baPWV can effectively assess systemic vascular stiffness, guide the early detection of coronary angiography, predict disease progression in SAP patients, and have important significance for monitoring the curative effect of CHD patients after treatment.