动脉硬度参数对于预测急性冠状动脉综合征中的语法分数的重要性
Semih Gülle1, Cenk Ekmekci2, Harun Akar1
1University of Health Sciences Tepecik Research and Training Hospital, Department of Internal Medicine, Izmir, Turkey.
概括
通过脉冲波速度 (PWV) 测量的动脉硬度与非ST升高心肌梗塞 (NSTEMI) 患者的冠状动脉疾病严重程度相关. 升高的PWV还预测ST升高心肌梗塞 (STEMI) 患者的预后不佳.
科学领域:
- 心脏病学 心脏病学
- 血管生物学 血管生物学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 动脉硬度 (AS) 与心血管疾病有关.
- 存在各种方法来衡量AS.
研究的目的:
- 为了将基于手臂的脉冲波速度 (PWV) 与来自冠状动脉血管学 (CAG) 的SYNTAX得分相关联.
- 评估PWV在心肌梗塞亚型中的预测价值.
主要方法:
- 研究了53名NSTEMI和51名STEMI患者 (18-80岁).
- 使用Mobil-O-Graph®设备测量了脉冲波速度 (PWV),增强指数 (AIx) 和血压.
- 冠状动脉疾病的严重程度使用SYNTAX评分进行评估.
主要成果:
- 在NSTEMI患者的PWV和年龄,RDW,BUN和SYNTAX得分之间发现了正相关性 (p<0.05).
- 在NSTEMI患者中,较高的PWV表明冠状动脉疾病的严重程度更高.
结论:
- 升高的PWV对于预测NSTEMI中冠状动脉疾病严重程度非常有价值.
- 增加的PWV预测STEMI患者的预后不佳,与更高的临床风险相关.
相关概念视频
Atherosclerosis II: Clinical Manifestations and Diagnostic Tests
434
Atherosclerosis is a progressive disorder that leads to the thickening and narrowing of arterial walls due to plaque buildup. This condition can cause various symptoms depending on the arteries affected:Coronary Artery Disease (CAD): This condition affects the coronary arteries and may lead to chest pain (angina), shortness of breath (dyspnea), heart attacks, and other heart disease symptoms.Cerebrovascular Disease: This affects blood flow to the brain, causing transient ischemic attacks (TIAs)...
434
Acute Coronary Syndrome III: Diagnostic Studies
197
Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
197
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
318
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
318
Imaging Studies for Cardiovascular System VI: Calcium -Scoring CT
370
Calcium-Scoring CT ScanA calcium-scoring CT scan, also known as coronary artery calcium (CAC) scan, detects calcium deposits in the coronary arteries. This test assesses the risk of coronary artery disease (CAD), which can lead to cardiovascular events such as angina, heart failure, and sudden cardiac arrest.A calcium-scoring CT scan is generally recommended for individuals at intermediate risk of CAD without symptoms. It includes:Men aged 40-75 and women aged 50-75: Especially those with a...
370
Acute Coronary Syndrome I: Introduction
711
Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
711
Coronary Artery Disease I: Introduction
847
Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
847


