Merghit R, Ait Athmane M, Lakehal A
Service de cardiologie, hôpital universitaire, Ali mendjli, 25OOO Constantine, Algérie.
Service de cardiologie, centre hospitalo universitaire d'Annaba, 23000 Annaba, Algérie.
Ann Cardiol Angeiol (Paris). 2019 Oct;68(4):201-206. doi: 10.1016/j.ancard.2019.01.001. Epub 2019 Mar 8.
Patients with coronary heart disease often suffer from damage in another vessel which has, in some cases, no clinical signs. These combined conditions are important to be diagnosed in order to treat the patients thoroughly.
To estimate the frequency of other peripheral atheromatous injuries especially carotid artery disease, Abdominal aortic aneurysm (AAA) and Peripheral artery disease (PAD) in patients with coronary disease which were enrolled in the cardiology department of the university hospital of Constantine, Algeria.
This descriptive cross-sectional monocentre study was carried out in the cardiovascular exploration unit in the university hospital of Constantine, Algeria. Enrolled patients had at least one significative coronary injury≥50 in one of the major coronary arteries. All of the patients have had an ultrasound examination (supra-aortic trunks doppler, aorta and inferior limbs doppler). Data were processed and analysed using SPSS 22 software.
The frequency of the association PAD with CAD was 34.7% which accounts for the highest frequency. Haemodynamic carotid injury (≥50%) and AAA were respectively associated with CAD in 12% and 4.6% of the cases. The triple associations CAD with AAA and Haemodynamic carotid injury was observed in 2.67% of the cases while CAD with PAD and carotid artery stenosis (≥50%) in 6.67% of the cases. The frequency of the association CAD with PAD and AAA was estimated at 3.66%.
Coronary artery disease goes often hand in hand with other heart conditions, which should be systematically considered in patients with CAD. Clinical examination along with recommended non-invasive imaging techniques can help improve the medical assessment of patients with CAD. Only with these means, thorough personalised and cost-beneficial medical care can be obtained.
冠心病患者常伴有其他血管损伤，在某些情况下并无临床症状。准确诊断这些合并病症对于全面治疗患者至关重要。
评估在阿尔及利亚君士坦丁大学医院心内科登记的冠心病患者中，其他外周动脉粥样硬化损伤的发生频率，尤其是颈动脉疾病、腹主动脉瘤（AAA）和外周动脉疾病（PAD）。
本描述性横断面单中心研究在阿尔及利亚君士坦丁大学医院的心血管检查科室开展。纳入的患者在至少一支主要冠状动脉中存在至少一处显著的冠状动脉损伤（≥50%）。所有患者均接受了超声检查（主动脉弓上干多普勒、主动脉及下肢多普勒）。数据使用SPSS 22软件进行处理和分析。
PAD与CAD的关联频率为34.7%，占比最高。血流动力学颈动脉损伤（≥50%）和AAA与CAD的关联率分别为12%和4.6%。CAD与AAA及血流动力学颈动脉损伤的三联关联在2.67%的病例中被观察到，而CAD与PAD及颈动脉狭窄（≥50%）的关联在6.67%的病例中出现。CAD与PAD及AAA的关联频率估计为3.66%。
冠状动脉疾病常与其他心脏疾病并存，CAD患者应系统地考虑这些情况。临床检查以及推荐的非侵入性成像技术有助于改善CAD患者的医学评估。只有通过这些手段，才能获得全面的个性化且具有成本效益的医疗护理。
