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急性冠状动脉综合征中主动脉瓣硬化作为动脉粥样硬化标志物的研究

Study of Aortic Valve Sclerosis as A Marker of Atherosclerosis in Acute Coronary Syndromes.

作者信息

Picardo Preeti Jane, Khariong Peter Daniel S, Hajong Ranendra, Hajong Debobratta, Naku Narang, Anand Madhur, Sharma Girish, Singh K Lenish

机构信息

Resident Doctor, Department of Medicine, NEIGRIHMS , Shillong, Meghalaya, India .

Resident Doctor, Department of Surgery, NEIGRIHMS , Shillong, Meghalaya, India .

出版信息

J Clin Diagn Res. 2016 Dec;10(12):OC05-OC09. doi: 10.7860/JCDR/2016/22422.8970. Epub 2016 Dec 1.

Abstract

INTRODUCTION

Aortic valve sclerosis has been shown to be associated with increased incidence, chances of developing myocardial infarction and even death. The epidemiological risk factors causing calcification of aortic valves have also been found to cause atherosclerosis.

AIM

To analyse the epidemiological risk factors causing aortic valve sclerosis which have been studied in details and analysed to see whether they cause any significant increase in the incidence of cardiovascular events.

MATERIALS AND METHODS

This prospective case-control study was conducted between 1 Jan 2015 to 31 Dec 2015 in NEIGRIHMS hospital and data for age, gender, socioeconomic status, hypertension, diabetes, tobacco use, Body Mass Iindex (BMI), cholesterol levels, Electrocardiography (ECG) changes and Ejection Fraction (EF) were collected and analysed by using SPSS software version 22.

RESULTS

Hypertension, diabetes, weight, BMI, hyperglycaemia and hyperlipidemia were not found to be significantly associated with aortic valve sclerosis in patients presenting with acute coronary syndromes. The presence of aortic valve sclerosis was also not associated with increased risk of cardiovascular mortality and morbidity.

CONCLUSION

The risk factors for atherosclerosis were found to be associated with the presence of aortic valve sclerosis more in the control group and hence finding of a sclerosed aortic valve in the apparent normal population might identify those persons at increased risk of developing coronary artery disease and appropriate preventive measures should be taken before the disease sets in.

摘要

引言

主动脉瓣硬化已被证明与发病率增加、发生心肌梗死甚至死亡的几率有关。还发现导致主动脉瓣钙化的流行病学危险因素也会引发动脉粥样硬化。

目的

分析已被详细研究和分析的导致主动脉瓣硬化的流行病学危险因素,以确定它们是否会使心血管事件的发生率显著增加。

材料与方法

这项前瞻性病例对照研究于2015年1月1日至2015年12月31日在NEIGRIHMS医院进行,收集了年龄、性别、社会经济状况、高血压、糖尿病、吸烟情况、体重指数(BMI)、胆固醇水平、心电图(ECG)变化和射血分数(EF)的数据,并使用SPSS 22软件进行分析。

结果

在患有急性冠状动脉综合征的患者中,未发现高血压、糖尿病、体重、BMI、高血糖和高脂血症与主动脉瓣硬化有显著关联。主动脉瓣硬化的存在也与心血管死亡率和发病率的增加无关。

结论

在对照组中,动脉粥样硬化的危险因素与主动脉瓣硬化的存在关联更为明显,因此在看似正常的人群中发现主动脉瓣硬化可能会识别出那些患冠状动脉疾病风险增加的人,应在疾病发生前采取适当的预防措施。

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