Goldenberg G, Samec P
Wien Klin Wochenschr. 1980 Jan 4;92(1):10-13.
The angiographic findings in 69 patients suffering from ischaemic stroke or transient ischaemic attacks were compared with the clinical data. The incidence of extracranial stenoses increases with age and is higher in patients with hypertriglyceridaemia and with occlusive arterial disease of the heart or the limbs. Hypertensive patients show extracranial stenoses less frequently, but a greater number is without any visible stenoses in the vessels supplying the affected part of the brain. The influence of the diastolic blood pressure on the distribution of the angiographic findings is greater than that of the systolic pressure, but if the diastolic pressure exceeds 105 mm Hg, the incidence of the different angiographic findings is equalized. Among female patients there are more without visible stenoses in the vessels supplying the affected part of the brain. Blood glucose and cholesterol showed no influence on the distribution of the angiographic findings and the incidence of intracranial stenoses was independent of any of the investigated factors. These results support the hypothesis that different risk factors cause different forms of arterial occlusive disease.
对69例缺血性中风或短暂性脑缺血发作患者的血管造影结果与临床数据进行了比较。颅外狭窄的发生率随年龄增长而增加,在高甘油三酯血症患者以及患有心脏或肢体闭塞性动脉疾病的患者中更高。高血压患者颅外狭窄的发生率较低,但更多患者在供应脑部受累部位的血管中没有任何可见的狭窄。舒张压对血管造影结果分布的影响大于收缩压,但如果舒张压超过105毫米汞柱,不同血管造影结果的发生率就会趋于相等。在女性患者中,供应脑部受累部位血管中没有可见狭窄的患者更多。血糖和胆固醇对血管造影结果的分布没有影响,颅内狭窄的发生率与任何所研究的因素无关。这些结果支持了不同危险因素导致不同形式动脉闭塞性疾病的假说。