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目的探讨颈动脉粥样硬化与冠心病的关系。方法本文通过对60例因心绞痛、心肌梗死及胸痛待查而入院的患者行冠状动脉造影检查,并与造影前后一周内对上述患者行颈动脉血管彩色多普勒超声检查,根据造影结果分为冠心病单支病变组、多支病变组和正常组(对照组),比较各组间所测得的颈动脉血管后壁内中膜厚度(IMT)及斑块发生率。结果随着冠状动脉病变严重程度的增加,IMT值和斑块发生率随之增高。结论颈动脉粥样硬化与冠心病之间关系密切,较早行颈动脉超声的检查可以预测冠状动脉的病变程度。
Objective To investigate the relationship between carotid atherosclerosis and coronary heart disease. Methods In this study, coronary angiography was performed in 60 patients admitted to hospital due to angina pectoris, myocardial infarction and chest pain. Color Doppler echocardiography was performed on the above patients within one week before and after angiography. According to the results of angiography, Coronary artery disease group, multi-vessel disease group and normal group (control group). The IMT and plaque incidence of carotid artery posterior wall were measured between groups. Results As the severity of coronary artery disease increased, the IMT value and plaque incidence increased. Conclusion The relationship between carotid atherosclerosis and coronary heart disease is closely related. Earlier examination of carotid artery ultrasound can predict the severity of coronary artery disease.