冠状动脉瘤样扩张与弥漫性扩张的血管造影特征及心血管危险因素  

Angiographic characteristics and cardiovascular risk factors of coronary artery aneurysm and coronary artery ectasia

作　　者：李小林 柳永华[2] 韦苇 王小东[3] 黄震浩[3] 范成辉[3] 夏光[3] 李瑞林 罗裕[3] LI Xiaolin;LIU Yonghua;WEI Wei;WANG Xiaodong;HUANG Zhenhao;FAN Chenghui;XIA Guang;LI Ruilin;LUO Yu(Jinggangshan University School of Medicine,Ji'an 343009,China;Department of Cardiovascular,Baoshan People's Hospital,Baoshan 678000,China;Department of Cardiovascular,Shanghai East Hospital,Tongji University School of Medicine,Shanghai 200120,China)

机构地区：[1]井冈山大学医学部,江西吉安343009 [2]保山市人民医院心脏科,云南保山678000 [3]同济大学附属上海市东方医院心内科,上海200120

出　　处：《中国介入影像与治疗学》2020年第2期104-108,共5页Chinese Journal of Interventional Imaging and Therapy

基　　金：上海市卫计委科学基金项目(201840112);上海市浦东新区临床高峰学科基金项目(PWYgf201802)

摘　　要：目的比较冠状动脉瘤样扩张(CAA)与弥漫性扩张(CAE)血管造影特征及心血管危险因素的差异。方法回顾性分析16778例冠状动脉造影图像。结果211例存在冠状动脉扩张,包括132例CAA、79例CAE。CAA发病率、合并冠状动脉疾病发生率及其Gensini评分均明显高于CAE(P均<0.05);CAA患者冠状动脉血管平均直径小于CAE(P<0.05),心肌梗死溶栓(TIMI)血流分级均低于CAE(P均<0.05)。血脂异常、吸烟及冠状动脉病家族史为CAA的独立危险因素(P均<0.05)。结论CAA与CAE在血管造影特征及心血管危险因素方面存在显著差异。Objective To observe the differences of angiographic characteristics and cardiovascular risk factors of coronary artery aneurysm(CAA)and coronary artery ectasia(CAE).Methods Coronary angiographic data of 16778 subjects were retrospectively analyzed.Results Coronary arteries dilatations were found in 211 patients,including 132 CAA(CAA group)and 79 CAE(CAE group).The morbidity of CAA,the concurrent morbidity of coronary heart disease(CHD)combined with CAA and Gensini score of CAA were all higher than that of CAE(all P<0.05).The average diameter of coronary arteries in patients with CAA was smaller than that in CAE patients(P<0.05),and thrombolysis in myocardial infarction(TIMI)was lower in CAA than CAE for all coronary arteries(all P<0.05).Dyslipidemia,smoking and family history of CHD were independent risk factors for CAA(all P<0.05).Conclusion Significant differences of angiographic characteristics and cardiovascular risk factors exist between CAA and CAE.

关 键 词：冠状动脉瘤 冠状动脉疾病 冠状血管造影术 心血管危险因素 

分 类 号：R541[医药卫生—心血管疾病] R814.4[医药卫生—内科学]