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[冠心病危险因素与冠状动脉造影数据的相关性]

[Correlation of the coronary heart disease risk factors and coronary angiographic data].

作者信息

Vlietstra R E, Kronmal R A, Seth A K, Frye R L

出版信息

Kardiologiia. 1982 Feb;22(2):67-72.

PMID:7069990
Abstract

The findings for 14 risk variables were correlated with the results of coronary angiography in 8807 patients enrolled in the multicenter Coronary Artery Surgery Study. Discriminant function analysis revealed that age, sex, cigarette smoking and level of blood cholesterol best distinguished between the groups with (6688 patients) and without (2119 patients) coronary artery disease (CAD). The relative risk for CAD in patients with the combination of cigarette smoking and an elevated cholesterol level was high in women 55 years old or younger and in men 35 years old or younger. Few women 45 years old or younger (7 out of 97) had CAD when neither of these risk factors were present. Despite these correlations, only limited gains accrued from the use of discriminant function analysis in correctly allocating patients into disease and nondisease groups. Extent and severity of disease in 15298 patients with CAD were significantly (p less than 0.001) but modestly correlated with age, sex, blood cholesterol level and history of diabetes or hypertension. No positive correlation occurred between the arteriographic measures of disease and the cigarette smoking history. Thus, factors influencing the presence of disease may differ from those influencing its extent and severity.

摘要

在多中心冠状动脉手术研究中,对8807名患者的14个风险变量的研究结果与冠状动脉造影结果进行了相关性分析。判别函数分析显示,年龄、性别、吸烟和血胆固醇水平最能区分患有冠状动脉疾病(CAD)的组(6688例患者)和未患冠状动脉疾病的组(2119例患者)。在55岁及以下的女性和35岁及以下的男性中,吸烟与胆固醇水平升高同时存在的患者患CAD的相对风险较高。当这两种风险因素都不存在时,45岁及以下的女性很少有CAD(97例中有7例)。尽管存在这些相关性,但使用判别函数分析在将患者正确分为患病组和未患病组方面仅获得了有限的收益。15298例CAD患者的疾病范围和严重程度与年龄、性别、血胆固醇水平以及糖尿病或高血压病史显著相关(p小于0.001),但相关性较弱。疾病的血管造影测量结果与吸烟史之间没有正相关。因此,影响疾病存在的因素可能与影响疾病范围和严重程度的因素不同。

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