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伴有和不伴有心肌梗死的冠心病患者外周动脉闭塞性疾病的发生率(作者译)

[Frequency of peripheral arterial occlusive disease in patients with coronary heart disease with and without infarction (author's transl)].

作者信息

Kriessmann A, Seidlmann W, Neiss A, Sebening H, Seidl K F

出版信息

Dtsch Med Wochenschr. 1979 Nov 9;104(45):1604-7. doi: 10.1055/s-0028-1129153.

Abstract

In 107 consecutive patients the frequency of peripheral arterial occlusive disease in coronary heart disease was assessed by selective coronary angiography and sonographic Doppler pressure estimation. Among 75 patients with coronary heart disease 21 (28%) had arterial occlusive disease, among 32 patients without coronary heart disease only one (3%). There was no statistically significant correlation between the severity of both diseases. 40 out of 75 patients with coronary heart disease had suffered from cardiac infarction. Infarction frequency showed a highly significant correlation with increasing severity of the coronary heart disease, but none with increasing severity or frequency of arterial occlusive disease. When there was no arterial occlusive disease all degrees of severity of coronary heart disease were found. Analysing the literature it becomes evident that coronary heart disease is frequently an isolated or premature manifestation of arteriosclerosis.

摘要

对107例连续患者,通过选择性冠状动脉造影和超声多普勒压力评估来测定冠心病患者外周动脉闭塞性疾病的发生率。在75例冠心病患者中,21例(28%)有动脉闭塞性疾病;在32例无冠心病的患者中,只有1例(3%)有动脉闭塞性疾病。两种疾病的严重程度之间无统计学显著相关性。75例冠心病患者中有40例曾患心肌梗死。梗死发生率与冠心病严重程度增加呈高度显著相关,但与动脉闭塞性疾病严重程度增加或发生率无关。当无动脉闭塞性疾病时,可发现各种程度的冠心病。分析文献可知,冠心病常常是动脉硬化的孤立或过早表现。

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