南方医科大学学报

南方医科大学学报 ›› 2004, Vol. 24 ›› Issue (02): 226-227.

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高血压对冠状动脉形态的影响(附203例报告)

杨希立1, 陈军1, 周颖玲2, 黄文晖2, 罗建方2, 李光2   

  1. 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
  • 出版日期:2004-02-20 发布日期:2004-02-20
  • 基金资助:
    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

Effect of hypertension on the morphology of coronary artery: analysis of 203 cases

YANG Xi-li1, CHEN Jun1, ZHOU Ying-ling2, HUANG Wen-hui2, LUO Jian-fang2, LI Guang2   

  1. 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
  • Online:2004-02-20 Published:2004-02-20

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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.

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