老年主动脉瓣膜钙化患者与冠心病关系的探讨  

The relationship between senile aortic valve calcification and coronary heart disease

作　　者：段军[1] 邹凤军[1] 丁五麟[1] 徐婕[1] 

机构地区：[1]首都医科大学附属复兴医院心功能科,北京100038

出　　处：《中华老年心脑血管病杂志》2008年第2期93-95,共3页Chinese Journal of Geriatric Heart,Brain and Vessel Diseases

摘　　要：目的通过超声心动图及冠状动脉造影的检查,探讨老年主动脉瓣膜钙化患者与冠心病的关系。方法选择我院拟诊为冠心病的老年住院患者(年龄≥60岁)308例,均经过超声心动图及冠状动脉造影术检查。根据超声心动图对主动脉瓣膜钙化情况的检查,将其分成主动脉瓣膜钙化组(166例)及主动脉瓣膜无钙化组(142例)。结果主动脉瓣膜钙化组与主动脉瓣膜无钙化组在年龄、高血压史、糖尿病史、吸烟史比较无统计学差异(P>0.05);血脂指标:主动脉瓣膜钙化组与主动脉瓣膜无钙化组比较,TG、TC、HDL-C及LDL-C有统计学差异(P<0.05);冠状动脉造影检查:主动脉瓣膜钙化组与主动脉瓣膜无钙化组比较有统计学差异(P<0.05)。结论老年主动脉瓣膜钙化患者与冠心病有一定的相关性,通过对老年主动脉瓣膜钙化患者行心脏超声心动图的无创检查,结合病史及实验室检查,对高危患者有一定的筛查作用。Objective To explore the relat{onship between senile aortic valve calcification and coronary heart disease （CHD） by using echocardiography （ECG） and coronary anglography （CAG）. Method 308 patients with CHD （age≥60 years old） were enrolled. Each of them had undergone ECG and coronary angiography. They were divided into two groups, aortic valve calcification group and non-aortic valve calcification group,according to the result of ECG. Results there was no statistical difference between two groups in age, history of hypertension, diabetes, and smoking （P〉0.05）. Compared with non-aortlc valve calcification group,TG,TC, HDL-C and LDL-C were significantly higher in aortic valve calcification group（ P〈0.05）. CAG showed significant difference between the two groups （ P〈0.05）. Conclusion There is certain correlation between senile aortic valve calcification and CHD. ECG combining with history and laboratory test can screen the patients with high risk for CHD.

关 键 词：主动脉瓣 动脉硬化 冠状血管造影术 冠状动脉疾病 超声心动描记术 

分 类 号：R541.4[医药卫生—心血管疾病]