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| Predictive Value of Integrated Neck Brain Ultrasound Combined with Red Blood Cell Distribution Width in Coronary Heart Disease |
| SHEN Jian, ZHANG Haoran, WANG Feng, et al |
| The Affiliated Hospital of Chengde Medical University, Hebei Chengde 067000, China |
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Abstract Objective: To explore the diagnostic value of cervical cerebral integrated ultrasound combined with red blood cell distribution width in coronary heart disease.Methods: 80 patients with coronary artery stenosis diagnosed by coronary angiography (CAG) in the Department of Cardiology of our hospital from January 2019 to December 2020 were selected as the observation group, and 80 patients without coronary artery stenosis diagnosed by coronary angiography were selected as the control group. The levels of transcranial Doppler ultrasound (TCD) detection parameters (mean flow velocity VM), transcranial vascular ultrasound detection parameters (IMT) and red blood cell distribution width (RDW) in each group were compared. Results: The mean flow velocity (VM), common carotid artery intima-media thickness (IMT) and RDW levels of MCA, ACA and PCA in the observation group were significantly higher than those in the control group (P＜0.05). The area under the ROC curve of VM, IMT, RDW and combined detection for diagnosing coronary heart disease were 0.83, 0.81, 0.77 and 0.91, respectively. There were statistically significant differences in the area under the ROC curve of each diagnosis of coronary heart disease(P＜0.05). When VM ≥ 2.03m/s, IMT ≥ 1.05mm and RDW ≥ 14.65% were present at the same time, the diagnostic sensitivity and specificity were 91.25% and 98.75%, respectively. The sensitivity and specificity of parallel combined detection were significantly better than that of general single test (P＜0.05). Conclusion: The level of detection parameters determined by cervical cerebral integrated ultrasound combined with red blood cell distribution width is closely related to the occurrence of coronary heart disease. It has great diagnostic value for the diagnosis of coronary heart disease, and has great economic and social value.
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[1] 王云霞,梁浩,孙明玥,等.红细胞分布宽度在糖尿病及其并发症中的临床意义[J].中国糖尿病杂志,2020,28(8):632-634.
[2] 高明杰,华扬,贾凌云.2型糖尿病患者颅内、颈部、下肢动脉粥样硬化性病变的超声研究[J].中华医学超声杂志,2010,7(10):1691-1698.
[3] 孙京花,李健,王成彬.红细胞体积分布宽度和超敏C反应蛋白与冠心病的相关性研究[J].检验医学与临床,2015,12(20):3019-3022.
[4] 王建伟.血清同型半胱氨酸在冠心病诊疗中的价值分析[J].饮食保健,2020,7(3):41-41.
[5] Garshick MS,Vaidean G,Vani A,et al.Cardiovascular risk factor control and lifestyle factors in young to middle-aged adults with newly diagnosed obstructive coronary artery disease[J].Cardiol,2019,142(2): 83-90.
[6] 李清,杜祥颖.冠状动脉粥样硬化性心脏病与缺血性脑卒中相关性研究进展[J].中国动脉硬化杂志,2019,27(10):905-909.
[7] Nagel E,Greenwood JP,Mccann GP,et al.Magnetic resonance perfusion or fractional flow reserve in coronary disease[J].N Engl Med,2019,380(25): 2418-2428.
[8] 陈文萍,尹克杰,李茗,等.利用虚拟平扫降低冠状动脉CT血管造影辐射剂量的可行性研究[J].中华放射医学与防护杂志,2022,42(1):61-66.
[9] 薛洁,耿献辉,王岩青,等.经颅多普勒超声联合血清同型半胱氨酸检测在冠心病诊断中的应用价值[J].河南医学研究,2021,30(1):139-141.
[10] 龚玉萍,王洋.实时超声心动图与平板运动心电图诊断冠心病的ROC曲线分析[J].影像科学与光化学,2019,37(6):598-603.
[11] 李令娟,杨秀玲,戴妍妍.冠心病病人红细胞分布宽度及超敏C反应蛋白的水平变化及意义[J].中西医结合心脑血管病杂志,2018,16(18):2691-2693. |
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2022, Vol. 28 
