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血清尿酸水平与冠状动脉疾病的存在及严重程度之间的关联

Association between Serum Uric Acid Level with Presence and Severity of Coronary Artery Disease.

作者信息

Kumbhalkar Sunita, Deotale Rahul

机构信息

Associate Professor in Medicine, Government Medical College, Gondia, Maharashtra; *Corresponding Author.

Assistant Professor in Medicine, Government Medical College, Nagpur, Maharashtra.

出版信息

J Assoc Physicians India. 2019 Apr;67(4):29-32.

Abstract

AIM AND OBJECTIVES

This study has been undertaken to determine and compare the levels of serum uric acid in cases with and without coronary artery disease (CAD), to study association between serum uric acid (SUA) level with presence and severity of coronary artery disease.

METHODS

Total 80 cases more than 13 years of age who presented to hospital with symptoms related to CAD were included in the study and divided into two groups based on coronary angiography reports. Serum uric acid level was measured in all patients by Uricase method. Presence and severity of CAD was assessed by coronary angiography. Association of SUA level with presence and severity of CAD were assessed by statistical analysis.

RESULTS

In total, 39 (48.75%) of the patients were diagnosed with CAD having mean age of 56.71 ± 10.36 years. The CAD patients had significantly higher SUA levels than those without CAD, (7.35 ± 1.61mg/dl vs. 4.08 ± 0.83 mg/dl, p=<0.001).There was statistically significant association between SUA and severity of CAD. Serum uric acid levels were increased in cases with CAD with increase in severity of CAD (p < 0.001).

CONCLUSION

Serum uric acid was significantly associated with the presence and severity of CAD and can be used for assessing severity of CAD.

摘要

目的

本研究旨在测定并比较冠状动脉疾病(CAD)患者与非CAD患者的血清尿酸水平,研究血清尿酸(SUA)水平与冠状动脉疾病的存在及严重程度之间的关联。

方法

本研究纳入了80例年龄超过13岁、因与CAD相关症状入院的患者,并根据冠状动脉造影报告将其分为两组。采用尿酸酶法测定所有患者的血清尿酸水平。通过冠状动脉造影评估CAD的存在及严重程度。通过统计分析评估SUA水平与CAD的存在及严重程度之间的关联。

结果

总共39例(48.75%)患者被诊断为CAD,平均年龄为56.71±10.36岁。CAD患者的SUA水平显著高于非CAD患者(7.35±1.61mg/dl对4.08±0.83mg/dl,p<0.001)。SUA与CAD的严重程度之间存在统计学上的显著关联。CAD患者的血清尿酸水平随着CAD严重程度的增加而升高(p<0.001)。

结论

血清尿酸与CAD的存在及严重程度显著相关,可用于评估CAD的严重程度。

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