老年腹主动脉瘤患者冠状动脉疾病的发病率及危险因素
[Incidence and risk factors of coronary artery disease in elderly patients with abdominal aortic aneurysm].
作者信息
Liu Yuan, Luo Jian-fang, Huang Wen-hui, Wang Hui-yong, Xie Nian-jin, Fan Rui-xin, Ma Shao-hong, Chen Ji-yan
机构信息
Department of Cardiology, Guangdong Academy of Medical Science, Guangzhou 510080, China.
出版信息
Zhonghua Xin Xue Guan Bing Za Zhi. 2011 Jan;39(1):53-6.
OBJECTIVE
To explore the prevalence of coronary artery disease and risk factors in patients with abdominal aortic aneurysm (AAA).
METHODS
Coronary angiography was performed immediately after abdominal angiography in 70 elderly (> 50 years) consecutive patients with AAA. Medical history and imaging characteristics were evaluated.
RESULTS
CAD was diagnosed in 63 patients (90.0%) by coronary angiography: 20 (28.6%) patients with single-vessel disease (SVD), 15(21.4%) with 2VD, 22 (31.4%) with 3VD and 6 (8.6%) with left main disease + 3VD. Multi-variance logistic analysis showed that peripheral disease was the strongest predictor for CAD in AAA patients.
CONCLUSION
Coronary angiography should be performed in elderly AAA patients due to the high prevalence of CAD in this patient cohort.
目的
探讨腹主动脉瘤（AAA）患者冠状动脉疾病的患病率及危险因素。
方法
对70例连续的老年（>50岁）AAA患者在腹部血管造影后立即进行冠状动脉造影。评估病史和影像学特征。
结果
冠状动脉造影诊断出63例（90.0%）患有冠心病：20例（28.6%）为单支血管病变（SVD），15例（21.4%）为双支血管病变（2VD），22例（31.4%）为三支血管病变（3VD），6例（8.6%）为左主干病变+3VD。多变量逻辑分析表明，外周血管疾病是AAA患者冠心病的最强预测因素。
结论
由于该患者群体中冠心病患病率较高，老年AAA患者应进行冠状动脉造影。
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