急性冠状动脉综合征患者肱踝脉搏波传导速度的临床研究  

Clinical Study of Brachial Ankle Pulse Wave Velocity of Patients with Acute Coronary Syndrome

作　　者：陈静[1] 林靖宇[1] 

机构地区：[1]复旦大学附属中山医院心电图室,上海200032

出　　处：《中国临床医学》2015年第1期93-94,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨急性冠状动脉综合征(acute coronary syndrome,ACS)患者肱踝脉搏波传导速度(brachial ankle pulse wave velocity,baPWV)与冠心病致病危险因素及冠状动脉病变严重程度的关系。方法:选择2010年7月—2013年5月在复旦大学附属中山医院行冠状动脉造影或经皮冠状动脉介入治疗的ACS患者48例,同期进行baPWV测定。根据所测得的baPWV将患者分为baPWV<1400 cm/s组(n=14)与baPWV≥1400 cm/s组(n=34)。结果:baPWV≥1400 cm/s组中有2个及2个以上危险因素的患者占88.2%,该比例高于baPWV<1400 cm/s组(57.1%),差异有统计学意义(P<0.05)。baPWV≥1400cm/s组患者冠状动脉狭窄程度与baPWV<1400 cm/s组比较,差异无统计学意义。结论:baPWV高的患者存在多个冠心病危险因素,baPWV值与ACS患者冠状动脉狭窄程度无关。Objective：To find the relationship between the brachial ankle pulse wave velocity（baPWV）and high risk factors of coronary heart disease and severity of coronary artery disease in patients with acute coronary syndrome（ACS）.Methods：Fortyeight patients with ACS diagnosed by coronary angiography or percutaneous coronary intervention in Zhongshan Hospital,Fudan University from Jul 2010 to May 2013 were included.According to baPWV level,they were divided into baPWV〈 1400cm/s group（n=14）and baPWV≥1400 cm/s group（n=34）.Results：About 88.2% of the patients in baPWVA≥1400 cm/s group had more than two high risk factors of coronary heart disease,significantly higher than that in baPWV〈1400 cm/s group（57.1%）.The defference had statistically significance（P〈0.05）.There was no significant difference in the severity of coronary artery stenosis between the two groups.Conclusions：The risk factors in the patients with high baPWV levels are more than those in patients with low baPWV levels in ACS.There are no relativity between the baPWV and the severity of coronary arteries stenosis in ACS.

关 键 词：急性冠状动脉综合征 肱踝脉搏波传导速度 危险因素 

分 类 号：R543.3[医药卫生—心血管疾病]