|
|
|
| Study on the Correlation between Carotid Vulnerable Plaque and Coronary SYNTAX Score |
| YAN Hongyu, et al |
| Chengde Medical College, Heibei Chengde 067000, China |
|
|
|
|
Abstract Objective: To study the relationship between the vulnerable plaque of carotid artery and the coronary SYNTAX score, and to explore the predictive effect of carotid atherosclerosis index on SYNTAX score and prognosis in patients with coronary heart disease. Methods: 315 cases underwent coronary angiography in Chengde central hospital from March 2016 to May 2017 were enrolled in the study. And the SYNTAX score was calculated according to coronary angiography, and divided into four groups: mild group (1 ≤points <21) in 124 cases, moderate group (21≤ points <31) in 63 cases, severe group (more than or equal to 31 points) in 45 cases, the control group of 83 cases (0); At the same time, the situation of carotid artery atherosclerosis was detected by ultrasound, and the number and texture of vulnerable plaques were measured and recorded, and the corresponding evaluation was made. Results: The detection rate of vulnerable plaque of carotid artery was compared between the four groups. Compared with the mild group, the control group had a significant difference compared with the severe group (P<0.05). The proportion of vulnerable plaque in carotid artery was compared between the four groups. There was a significant difference between the groups (P<0.05). As SYNTAX score increased, mixed plaques hypoechoic accounted ladder in each group except the severe group increased; the other three groups, high echo mixed echo plaque in each group in proportion gradually increased; plaque heterogeneity was not statistically significant (P>0.05). There was no significant difference between the follow-up patients after 1 months of follow-up after discharge (P>0.05). Conclusion: Carotid vulnerable plaques, especially low echo mixed echo plaques are significantly correlated with coronary artery lesions. Ultrasound detection of vulnerable carotid plaques has great clinical value for early diagnosis and prevention of coronary heart disease, and it is worthy of further excavation.
|
|
|
|
|
|
[1] 高润霖.中国心血管病报告2016[J].中国循环杂志,2017,32(6):525~526.
[2] LI XY,LI QC.Application of high frequency ultrasound on carotid artery atherosclerosis and coronary heart disease relationship[J].Journal of Ultrasound in Clinical Medicine,2009,11(4):249~251.
[3] 李召晨,杜瑞艳,王洪娟,等.颈动脉粥样硬化与急性脑梗死关系的研究[J].中国现代医学杂志,2013,23(6):89~92.
[4] Stein JH, Korcarz CE, Hurst RT,et al. Use of carotid ultrasound to identify subelinical vascular disease and evaluate cardiovascular disease risk: a consensus statement from the American Society of Echocardiography Carotid Intima-Media Thickness Task Force[J].Am Soc Echocardiography,2008,21:93~111.
[5] 勇强,张蕾,王丽娟,等.颈动脉斑块风险等级的超声评价[J].血管与腔内血管外科杂志,2016,2(4):278~281.
[6] 孙瑶,陈光辉,陈韵岱.SYNTAX积分及其优缺点[J].中华老年心脑血管杂志,2010,12(3):275~277.
[7] 王维铁,张旭,许日昊,等.冠心病患者冠状动脉病变程度与颈动脉粥样硬化及脑梗死的关系[J].中国动脉硬化杂志,2017,25(2):171~174.
[8] 卜智斌,叶萌,程芸,等.超声造影评估颈动脉粥样斑块与缺血性脑卒中相关性的初步研究[J].中华超声医学杂志,2015,(10):945~947.
[9] 勇强,张蕾,冯立群,等.超声评价颈动脉易损斑块的价值[J].中华医学超声杂志,2015,12(8):583~584.
[10] 彭松,万静,李凯勇,等.颈动脉粥样硬化与冠状动脉SYNTAX积分的相关性研究[J].心肺血管病杂志,2015,34(8):602~605. |
|
|
|
2018, Vol. 24 
