摘要
目的探讨冠心病患者高血压分级与冠状动脉病变特点的关系。方法对209例经冠状动脉造影(CAG)确诊为冠心病的患者,根据2010年版中国高血压防治指南分为单纯冠心病组(CAD组,n=45),高血压1级冠心病组(CAD-EHⅠ组,n=43),高血压2级冠心病组(CAD-EHⅡ组,n=51),高血压3级冠心病组(CAD-EHⅢ组,n=70)。对所有研究对象检测三酰甘油(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)、极低密度脂蛋白胆固醇(VLDL-C),并对比分析4组患者CAG资料。结果 CAD-EHⅢ组与其他3组比较,三支病变和重度病变较多(α<0.008),且回旋支病变积分和总冠状动脉积分高于其他3组(P<0.05)。结论高血压3级冠心病冠状动脉病变累及范围广且程度重。
Objective To explore the relationship between the classifications of hypertension and coronary artery lesions in the patients with coronary artery disease（CAD）. Methods A total of 209 patients with angiographically diagnosed CAD were divided into 4 groups according to the Chinese Hypertension Prevention Guideline（edition 2010）,simple CAD（45 cases）,CAD with essen- tial hypertension（EH） I （43 cases） ,CAD with EH Ⅱ （51 cases） and CAD with EH HI （70 cases）. Triglycerides（TG）, total cholesterol（TC） ,high density lipoprotein cholesterol（HDL-C） ,low density lipoprotein cholesterol（LDL-C） and very low density lipoprotein cholesterol（VLDL-C） were determined in all cases. The clinical features and the data from selective coronary angiographies were compared among 4 groups. Results Compared to three other groups,the CAD with EH HI group suffered more triple vessel lesions and severe coronary artery lesions（ad0. 008）,and their leftcircumflex coronary artery lesion score and cumulative scores were higher than those in the other 3 groups（P〈0.05）. Conclusion The coronary artery lesions in the CAD patients with EH 11 involves the wide range with severe degree.
出处
《重庆医学》
CAS
CSCD
北大核心
2012年第27期2829-2831,共3页
Chongqing medicine
关键词
心脏病
冠状动脉硬化
高血压
关系
heart diseases
coronary arteriosclerosis
hypertension
relationship
