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The prevalence of carotid artery stenosis in patients with coronary artery disease
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF RADIOLOGY
- Issue:
- 2
- DOI:
- 10.3760/j.issn:1005-1201.2007.02.015
- Key Word:
- 冠状动脉疾病;颈动脉狭窄;血管造影术
Abstract： 目的 评估冠心病(CAD)伴发颈动脉狭窄(CS)的发生率.方法 97例经冠状动脉造影确诊的患者同时行颈动脉血管造影,以冠状动脉狭窄≥50%及累及情况,将CAD患者分为1、2、3支病变组(包括左主干受累);以CS≥70%为切分点,比较CS在不同亚组间的伴发情况;同时将年龄、体重指数(BMI)、高血压病史及相关生化危险因素作为独立危险因素行Logistic回归分析.结果 97例CAD患者中,1支病变25例(25.8%)、2支病变34例(35.0%)、3支病变38例(39.2%)(包括左主干受累);32例(33.0%)CS≥70%,包括颈动脉闭塞6例.CS分布情况:1支病变组4%(1/25)、2支病变组38.2%(13/34)、3支病变组47.4%(18/38).单因素Logistic回归分析显示年龄和高血压病史与CS密切相关(P＜0.05).结论 单支病变合并1个或多个危险因素、多支病变欲行冠状动脉搭桥术的CAD患者,冠状动脉造影的同时应行颈动脉造影.
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