[1]杨希立,陈军,周颖玲,等.高血压对冠状动脉形态的影响(附203例报告)[J].南方医科大学学报,2004,(02):226-227.
 YANG Xi-li,CHEN Jun,ZHOU Ying-ling,et al.Effect of hypertension on the morphology of coronary artery: analysis of 203 cases[J].Journal of Southern Medical University,2004,(02):226-227.
点击复制

高血压对冠状动脉形态的影响(附203例报告)()
分享到:

《南方医科大学学报》[ISSN:1673-4254/CN:44-1627/R]

卷:
期数:
2004年02期
页码:
226-227
栏目:
出版日期:
2004-02-01

文章信息/Info

Title:
Effect of hypertension on the morphology of coronary artery: analysis of 203 cases
作者:
杨希立1 陈军1 周颖玲2 黄文晖2 罗建方2 李光2
1. 佛山市第一人民医院心内科, 广东, 佛山, 528000;
2. 广东省人民医院心血管疾病研究所, 广东, 广州, 510100
Author(s):
YANG Xi-li1 CHEN Jun1 ZHOU Ying-ling2 HUANG Wen-hui2 LUO Jian-fang2 LI Guang2
1. Department of Cardiology, First People’s Hospital of Foshan, Foshan 528000, China;
2. Institute of Cardiovascular Diseases, People’s Hospital of Guangdong Province, Guangzhou 510100, China
关键词:
高血压糖尿病血管形态冠状血管造影术
Keywords:
hypertensiondiabetesvascular formcoronary angiography
分类号:
R544.1;R587.4
摘要:
目的 初步探讨高血压病人冠状动脉造影血管形态特点。方法 选取1999年11月~2001年11月在我院怀疑为冠心病的203例病人(男159例、女44例,年龄29~75岁),详细询问病史、症状以及进行冠状动脉造影,并分为高血压组与血压正常组进行比较。结果 高血压组患者血管弯曲数为5.7±1.2,血压正常组为3.1±0.8,两者比较有明显差异(P<0.01)。同时高血压组病人分叉部位病变占本组病变的34.5%,而血压正常组病人分叉部位病变仅占本组病变的23.1%,两者比较有明显差异(P<0.01)。结论 高血压病人冠状动脉有弯曲较多及分叉病变较多的特点。
Abstract:
Objective To investigate the morphological features of the coronary artery visualized in angiography in hypertensive patients. Methods A total of 203 patients (including 159 male and 44 female patients aged 29 to 75 years) with suspected coronary artery disease were studied during the period from November 1999 to November 2001. All the patients received clinical examination and selective coronary angiography, and were divided into hypertensive and normotensive groups for comparison. Results There were 5.7±1.2 vascular curves in the hypertensive group, but only 3.1±0.8 in normotensive group, showing significant differences between the 2 groups (P<0.01). The bifurcation lesion was found in 34.5% patients in hyperten-sive group, but in only 23.1% in normotensive group (P<0.01). Conclusion Hypertensive patients have more cardiovascular curves and bifurcation lesions in comparison with normotensive patients.

参考文献/References:

[1] 邱明,李公信,刘映峰.优势型冠状动脉闭塞致其他部位心肌梗死[J].第一军医大学学报,2002,22(8):709-10.Qiu M, Li GX, Liu YF. Myocardial infarction in regions not corresponding to occlusion of dominant coronary artery[J]. J First Mil Med Univ/Di Yi Jun Yi Da Xue Xue Bao, 2002, 22(8): 709-10.
[2] 欧阳伟,何国荣,刘金华.冠状动脉疾病危险因素与201TI心肌灌注显像的相关性研究[J].第一军医大学学报,2002,22(12):1123-5.Ouyang W, He GR, Liu JH. Relationship between risk factors for coronary artery disease and thallium-201 myocardial scintigraphy[J]. J First Mil Med Univ/Di Yi Jun Yi Da Xue Xue Bao, 2002, 22(12): 1123-5,
[3] Gueret P. Clinical and diagnostic aspects of coronary disease in diabetic patients[J]. Diabetes Metab, 2001, 27(5 Pt 2): S20-4.
[4] 涂晓文,刘映峰,李志樑,等.尾加压素Ⅱ在冠状动脉中的表达与冠状动脉粥样硬化[J].第一军医大学学报,2003,23(6):572-4.Tu XW, Liu YF, Li ZL, et al. Expression of urotensin Ⅱ in human coronary artery and coronary atherosclerosis[J]. J First Mil Med Univ/Di Yi Jun Yi Da Xue Xue Bao, 2003, 23(6): 572-4.
[5] 马长生,盖鲁粤,张奎俊,等.介入心脏病学[M].北京:人民卫生出版社,1998.115.
[6] 方圻.现代内科学[M].北京:人民军医出版社,1995.2714-5.
[7] 迟东升,刘伊丽,王鹏,等.超声心动图观察左室肥厚对评价高血压心肌微血管病变的价值[J].第一军医大学学报,2003,23(7):702-5.Chi DS, Liu YL, Wang P, et al. Value of echocardiography for observing left ventricular hypertrophy in the diagnosis of myocardial microvascular damage in hypertensives[J]. J First Mil Med Univ/Di Yi Jun Yi Da Xue Xue Bao, 2003, 23(7): 702-5.

相似文献/References:

[1]陈志,沈洁,徐玲玲,等.葡萄糖耐量试验期间对动态血糖监测系统的精确性分析[J].南方医科大学学报,2011,(07):1256.
[2]朱波,李晨钟,钱毅,等.脂联素对自发性2 型糖尿病大鼠肝脏IRS-1 磷酸化的影响及其可能机制[J].南方医科大学学报,2011,(05):782.
[3]韦安阳,杨勇,何书华,等.miR-145在糖尿病性勃起功能障碍大鼠发病机制中的作用[J].南方医科大学学报,2011,(06):1051.
[4]朱艳,沈洁,胡园园,等.糖尿病大鼠肾脏转化生长因子β1与α3、β1整合素的相关分析[J].南方医科大学学报,2011,(06):1059.
[5]朱波,李晨钟,钱毅,等.OLETF鼠内脏脂肪沉积与脂肪组织脂联素mRNA水平的关系[J].南方医科大学学报,2011,(08):1341.
[6]韦安阳,刘洋,何书华,等.糖尿病性大鼠阴茎海绵体平滑肌细胞凋亡和增殖特征分析[J].南方医科大学学报,2012,(02):155.
[7]王洪巨,康品方,叶红伟,等.乙醛脱氢酶2在糖尿病大鼠心肌缺血/再灌注损伤中的抗凋亡作用[J].南方医科大学学报,2012,(03):345.
[8]景丽,张建忠,王一理,等.磷酸化细胞外信号调节激酶和P21ras在高血压血管平滑肌细胞中表达增强(英文)[J].南方医科大学学报,2006,(07):895.
 JING Li,ZHANG Jian-zhong,et al.P21ras and phosphorylated extracellular signal-regulated protein kinase are highly expressed in vascular smooth muscle cells of hypertensive rats[J].Journal of Southern Medical University,2006,(02):895.
[9]钱孝贤,陈燕铭,吴伟康,等.伊贝沙坦对糖尿病大鼠心脏一氧化氮系统的影响[J].南方医科大学学报,2006,(09):1359.
 QIAN Xiao-xian-,CHEN Yan-ming,WU Wei-kang,et al.Effects of irbesartan on nitric oxide system in the heart of diabetic rats[J].Journal of Southern Medical University,2006,(02):1359.
[10]吕伟明,雷尚通,张强,等.精氨酸对糖尿病的作用观察[J].南方医科大学学报,2006,(10):1434.
 Lü Wei-ming,LEI Shang-tong,ZHANG Qiang,et al.Effect of L-arginine on diabetic rats[J].Journal of Southern Medical University,2006,(02):1434.
[11]关美萍,李晨钟,薛耀明,等.2型糖尿病合并高血压病患者尿微量白蛋白患病率研究[J].南方医科大学学报,2005,(02):234.
 GUAN Mei-ping,LI Chen-zhong,XUE Yao-ming,et al.Prevalence of microalbuminuria in type 2 diabetic patients with hypertension[J].Journal of Southern Medical University,2005,(02):234.
[12]张新梅,胡允兆,温主治,等.无糖代谢异常史高血压患者及正常血压患者糖代谢状况分析[J].南方医科大学学报,2013,(01):108.
[13]王洪巨,潘强强,高琴,等.冠心病合并糖尿病患者乙醛脱氢酶2基因多态性与高血压的关系[J].南方医科大学学报,2013,(04):542.

备注/Memo

备注/Memo:
收稿日期:2003-12-8。
作者简介:杨希立(1963-),男,1985年毕业于广东医学院,学士,副主任医师,电话:0757-83833633-2111,E-mail:yxli@fsyyy.com
更新日期/Last Update: 1900-01-01