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腿部血管造影分级动脉粥样硬化及冠心病患者的血浆脂质和脂蛋白模式

Plasma lipids and lipoprotein patterns in angiographically graded atherosclerosis of the legs and in coronary heart disease.

作者信息

Davignon J, Lussier-Cacan S, Ortin-George M, Lelièvre M, Bertagna C, Gattereau A, Fontaine A

出版信息

Can Med Assoc J. 1977 Jun 4;116(11):1245-50.

PMID:861881
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1879247/
Abstract

The prevalence and type of plasma lipoprotein abnormalities were determined in 114 French-Canadian patients with angiographically proven peripheral vascular disease (PVD). The severity of atherosclerosis was positively correlated with plasma triglyceride concentration, especially in the younger patients (r = 0.29, P less than 0.05), and (not significantly) with plasma cholesterol concentration. Of the risk factors believed to predispose individuals to atherosclerosis, cigarette smoking was the most frequently found in the PVD patients (72.8%), especially among the men. Combination of two or more risk factors was the rule. Findings were compared with those in 114 patients who had undergone coronary angiography for suspected coronary heart disease (CHD). The CHD patients were, on average, younger by 10 years. Hyperlipidemia was present in 58.8% of CHD patients, compared with 43.9% of PVD patients. A far higher proportion of CHD patients showed the type II plasma lipoprotein pattern (24.6% v. 7.9%), although the type IV pattern was more common in both groups (31.6% and 28.9%, respectively). A high proportion of all patients (56.1% with PVD and 41.2% with CHD) showed a normal lipoprotein pattern on paper electrophoresis.

摘要

对114例经血管造影证实患有外周血管疾病(PVD)的法裔加拿大患者的血浆脂蛋白异常的患病率和类型进行了测定。动脉粥样硬化的严重程度与血浆甘油三酯浓度呈正相关,尤其是在较年轻的患者中(r = 0.29,P < 0.05),与血浆胆固醇浓度(无显著相关性)。在被认为易患动脉粥样硬化的危险因素中,吸烟在PVD患者中最为常见(72.8%),尤其是在男性中。两种或更多危险因素并存是常见情况。将这些结果与114例因疑似冠心病(CHD)接受冠状动脉造影的患者的结果进行了比较。冠心病患者平均年龄小10岁。冠心病患者中高脂血症的发生率为58.8%,而PVD患者为43.9%。冠心病患者中显示II型血浆脂蛋白模式的比例要高得多(24.6%对7.9%),尽管IV型模式在两组中更为常见(分别为31.6%和28.9%)。所有患者中有很大比例(PVD患者为56.1%,CHD患者为41.2%)在纸上电泳时显示脂蛋白模式正常。

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Plasma lipids and lipoprotein patterns in angiographically graded atherosclerosis of the legs and in coronary heart disease.腿部血管造影分级动脉粥样硬化及冠心病患者的血浆脂质和脂蛋白模式
Can Med Assoc J. 1977 Jun 4;116(11):1245-50.
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引用本文的文献

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Angiographic findings and the type A pattern assessed by means of the Bortner Scale.血管造影结果及通过博特纳量表评估的A型模式。
J Behav Med. 1982 Sep;5(3):313-20. doi: 10.1007/BF00846158.

本文引用的文献

1
Sharper separation of lipoprotein species by paper electrophoresis in albumin-containing buffer.在含白蛋白缓冲液中通过纸电泳对脂蛋白种类进行更清晰的分离。
J Lab Clin Med. 1963 Mar;61:518-28.
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Peripheral angiography in ischemic arterial diseases of the limbs.肢体缺血性动脉疾病的外周血管造影
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Functional circulatory disorders of lower extremities due to regional hemokinetic imbalance: a new clinical and angiographic concept.区域性血液动力学失衡所致下肢功能性循环障碍:一种新的临床与血管造影概念
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Ann Intern Med. 1971 Jan;74(1):1-12. doi: 10.7326/0003-4819-74-1-1.
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Fat transport in lipoproteins--an integrated approach to mechanisms and disorders.脂蛋白中的脂肪运输——机制与疾病的综合研究方法
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