Zhigang Bai, Department of Radiology, Affiliated Hospital of Inner Mongolia Medical University, Hohhot, 010059, P. R. China.
Xiaoguang Yang, Department of Radiology, Affiliated Hospital of Inner Mongolia Medical University, Hohhot, 010059, P. R. China.
Pak J Med Sci. 2013 Jul;29(4):933-7. doi: 10.12669/pjms.294.3618.
Objective : To compare the coronary atherosclerotic plaque 64-slice spiral CT characteristics and the risk factors of Han (in Inner Mongolia) and Mongolian coronary artery disease patients. Metho d s: The plaques of 126 Mongolian and 269 Han patients were analyzed by 64-slice spiral CT coronary angiography. Their gender, age, height, body mass, the history of hypertension, diabetes, smoking and family diseases, the levels of triglycerides (TG), total cholesterol (TC), high density lipoprotein cholesterol (HDL-C) and low density lipoprotein cholesterol (LDL-C) were compared.
The incidence of plaques (P <0.05), the proportion of plaques in the circumflex branch (P <0.05), the proportion of medium-severe lumen stenosis induced by plaques (P <0.05), and the proportion of obstructive plaque involved multi-branch (P <0.05) of the Mongolian patients were higher. The plaque compositions of the two groups did not differ significantly (P> 0.05). The body mass index of the Mongolian patients was higher (P <0.05). The hypertension, diabetes, smoking history, TG, TC, HDL-C and LDL-C of the two groups did not differ significantly (P> 0.05).
The higher incidence of coronary atherosclerotic plaques and the more severe lesions of the Mongolian patients may be related to their higher body mass index.
比较蒙古族和汉族冠心病患者冠状动脉粥样硬化斑块 64 层螺旋 CT 特点及危险因素。方法:对 126 例蒙古族和 269 例汉族冠心病患者进行 64 层螺旋 CT 冠状动脉造影,分析其斑块特征,并比较两组患者的性别、年龄、身高、体质量、高血压病、糖尿病、吸烟及家族史,以及甘油三酯(TG)、总胆固醇(TC)、高密度脂蛋白胆固醇(HDL-C)、低密度脂蛋白胆固醇(LDL-C)水平。结果:蒙古族患者斑块发生率较高(P<0.05),回旋支斑块比例较高(P<0.05),斑块所致中重度管腔狭窄比例较高(P<0.05),多支病变阻塞性斑块比例较高(P<0.05)。两组斑块性质比较差异无统计学意义(P>0.05)。蒙古族患者体质量指数较高(P<0.05)。两组患者高血压病、糖尿病、吸烟史、TG、TC、HDL-C、LDL-C 比较差异无统计学意义(P>0.05)。结论:蒙古族患者冠状动脉粥样硬化斑块发生率高、病变程度重可能与体质量指数高有关。