颈动脉粥样硬化对毛里塔尼亚高血压患者心血管风险的影响。
Impact of Carotid atheroma on cardiovascular risk in Mauritanian hypertensive patients.
出版信息
Tunis Med. 2022;100(2):133-136.
AIM
To determine the prevalence of carotid atheroma in hypertensive patients and assess the levels of cardiovascular risk.
METHODS
This is a prospective study that took place in the outpatient department of the National Cardiology Center of Nouakchott over a period of 6 months (October 2019 to March 2020). Patients with hypertension without complications were included. Patients lost to followup and those whose records were incomplete were excluded from the study.
RESULTS
Out of a total of 171 patients, a total of 93 patients (54.38%) was collected, of which 54.8% were women, 55.9% of the patients in the series were over 50 years old.The associated cardiovascular risk factors were dominated by dyslipidemia (27.9%), diabetes (20.4%), smoking (26.8%). hypertension was grade 2 in 47.3% of patients and grade 3 in 52.7% of patients. Left ventricular hypertrophy was noted in 77.4% of patients. Echo-Doppler of the supra-aortic trunks revealed atherosclerotic plaques in 63.4% of patients.
CONCLUSION
The prevalence of carotid atheroma in hypertensive patients at high cardiovascular risk level was frequent in our series, it follows from this to recommend early detection for optimal management.
目的
确定高血压患者颈动脉粥样硬化的患病率，并评估心血管风险水平。
方法
这是一项前瞻性研究，在努瓦克肖特国家心脏病中心的门诊部进行，时间为 6 个月（2019 年 10 月至 2020 年 3 月）。纳入无并发症的高血压患者。失访患者和记录不完整的患者被排除在研究之外。
结果
在总共 171 名患者中，共收集了 93 名患者（54.38%），其中 54.8%为女性，55.9%的患者年龄超过 50 岁。相关的心血管危险因素主要为血脂异常（27.9%）、糖尿病（20.4%）、吸烟（26.8%）。患者中高血压 2 级占 47.3%，3 级占 52.7%。77.4%的患者存在左心室肥厚。上腔动脉多普勒超声显示 63.4%的患者存在动脉粥样硬化斑块。
结论
在我们的研究中，高心血管风险水平的高血压患者颈动脉粥样硬化的患病率较高，因此建议早期发现以进行最佳管理。
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