老年钙化性心瓣膜病病变程度及类型与冠心病的关系  

Relationship between the lesion type and extent of calcified valvular heart disease and coronary heart disease

作　　者：宋艳[1] 钱蕴秋[1] 张海滨[1] 何光彬[1] 刘丽文[1] 李红玲[1] 田雪[1] 朱永胜[1] 

机构地区：[1]第四军医大学西京医院超声科,西安710032

出　　处：《解放军医学杂志》2006年第8期764-765,共2页Medical Journal of Chinese People's Liberation Army

基　　金：全军"十五"医药卫生科研基金课题(01Z034)

摘　　要：目的比较不同程度、不同类型的老年钙化性心瓣膜病(CVHD)患者冠心病发病率及易患因素的差异。方法574例经超声心动图诊断为CVHD的患者,根据血流动力学改变程度分为轻、重度病变组,比较冠心病发病率、易患因素等的差异。结果重度病变组97例,分为主动脉瓣狭窄组(AS组)、主动脉瓣关闭不全组(AI组)和二尖瓣病变组(MV组),其余为轻度病变组;各组间血压、血脂、空腹血糖、年龄及冠心病、高血压病、高脂血症、糖尿病的发病率等无显著性差异。结论轻、重度CVHD对冠心病具有相似的预测价值,轻度CVHD亦应受到重视。Objective To explore the incidence and predisposing factors of coronary heart disease （CHD） among the patients with different types and extent of calcified valvular heart disease （CVHD）. Methods 574 patients with CVHD diagnosed by echocardiography were divided into mild and severe groups based on the hemodynamic changes. The differences of incidence and predisposing factors of coronary heart disease between the two groups were compared. Results Ninety-seven cases of CVHD were categorized as having severe lesion, including aortic stenosis subgroup （AS group）, aortic insufficiency subgroup （AI group） and mitral valve subgroup （MV group）. All other patients were having mild lesions. There was no significant difference in blood pressure, blood lipid, fasting blood glucose, age and incidence of CAD, incidences in hypertension, hyperlipidemia and diabetes mellitus between two groups. Conclusions Mild CVHD showed similar prognostic value as that of severe CVHD, therefore it should not be ignored.

关 键 词：钙化性心瓣膜病 冠状动脉疾病 超声心动描记术 老年人 

分 类 号：R541.4[医药卫生—心血管疾病] R542.5[医药卫生—内科学]