期刊文献+

冠心病合并2型糖尿病患者的冠脉病变特点 被引量:4

Features of Coronary Artery Disease in Type 2 Diabetes Mellitus Patients with Coronary Heart Disease
原文传递
导出
摘要 【目的】探讨2型糖尿病(T2DM )患者的冠状动脉病变特点。【方法】用冠状动脉造影(CAG )方法分析394例伴有T2DM (124例)和不伴有T2DM (270例)的冠心病患者冠脉病变特点;常规超声心动图了解心脏腔室内径及心功能指标。【结果】冠心病合并T2DM患者,受累冠脉以左前降支为主,其次为左回旋支病变,次之为右冠脉病变;与不伴有T2DM患者相比,心脏腔室内径的改变无统计学差异( P >0.05)。【结论】CHD合并T2DM患者冠状动脉病变更严重,T2DM对心脏功能的影响必须系统全面地进行评价。 [Objective] To explore the features of coronary artery disease in patients with type 2 diabetes mellitus(T2DM ) .[Methods]Coronary angiography(CAG) was used to analyze the features of coronary artery disease in 394 coronary heart disease (CHD) patients with T2DM ( n = 124) and without diabetes mellitus (DM)( n=270) .Conventional ultrasonic echocardiogram(ECG) was used to analyze inner diameter of heart and cardiac function parameters .[Results] Left interior descending branch was mainly involved in T 2DM pa-tients with CHD ,and left circumflex branch was next ,and the right coronary artery was second next .There was no significant difference in inner diameter of heart between DM with and without CHD ( P〉0 .05) .[Conclusion]Coronary artery disease in T2DM patients with CHD is more severe .The effect of DM on cardiac function should be assessed systematically and comprehensively .
出处 《医学临床研究》 CAS 2014年第4期717-719,共3页 Journal of Clinical Research
关键词 冠心病/并发症 糖尿病 2型/并发症 Coronary Disease/CO Diabetes Mellitus,Type 2/CO
  • 相关文献

参考文献8

  • 1Yang WY,Lu JM,Weng JP, et al . prevalence of diabetes a- mong men and women in China[J]. N Engl J Med , 2010, 362(12) :1090-1101.
  • 2Gu K, Cowie CC, Harris MI. Mortality in adults with and without diabetes in a national cohort of the U.S. population, 1971-1993[J]. Diabetes Care ,1998,21(7) :1138-1145.
  • 3Mak KH, Molitemo DJ, Granger CB, et al . Influence of dia- betes mellitus on clinical outcome in the thrombolytic era of a- cute myocardial infarction. GUSTO-I Investigators Global U- tilization Of Streptokinase and Tissue Plasminogen Activator for Occluded Coronary Arteries[J]. J Am Coll Cardiol , 1997,30(1) :171-179.
  • 4Bouraoui H, Trimeche B, Emez-Hajri S, et al . Epidemiologic features of myocardial infarction in young patients [J]. Tunisie Medicale , 2004,82 (5):475-478.
  • 5郭颖,张思宁.冠心病合并2型糖尿病患者临床及冠状动脉造影对比分析[J].心肺血管病杂志,2010,29(3):218-219. 被引量:13
  • 6郑凌飞,韩雅玲,荆全民,王效增,李毅,张磊,霍勇,张岩.2型糖尿病与冠状动脉病变程度的相关性分析[J].中国介入心脏病学杂志,2012,20(2):67-71. 被引量:17
  • 7王华,冯波,王元元.冠心病伴2型糖尿病患者临床和冠脉造影分析[J].同济大学学报(医学版),2010,31(1):79-83. 被引量:9
  • 8Schukro C, Syeda B, Yahya N. Volumetric intravascular ul- trasound imaging to illustrate the extent of coronary plaque burden in type 2 diabetic patients [ J ]. J Diabetes Complications ,2007, 21(6) :381-386.

二级参考文献34

  • 1江时森,黄浙勇.危险因素的评估在冠心病临床诊断中的参考价值研究[J].心肺血管病杂志,2006,25(1):5-7. 被引量:12
  • 2徐远溪,邢燕,赵明中,郑黎强,胡大一.冠状动脉病变程度与冠心病危险因素的关系[J].同济大学学报(医学版),2007,28(1):83-88. 被引量:11
  • 3蒋晓红.2型糖尿病合并冠心病患者的临床与冠状动脉造影特点分析[J].中国医师进修杂志(内科版),2007,30(6):51-52. 被引量:2
  • 4Baris N, Akdeniz B, Uyar S, et al. Are complex coronary lesion s more frequent in patients with diabetes mellitus? [J]. Can J Cardiol, 2006, 22 (11 ) : 935-937.
  • 5Tutun U, Cicckcioglu F, Budak B, et al. Coronary atherosclerosis distribution and the effect of blood glucose level on operative mortality/morbidity in diabetic patients undergoing coronary artery bypass grafting surgery: a single center experience[J]. Anadolu Kardiyol Derg, 2007, 7(2) :158-163.
  • 6Ozeke O, Aras D, Deveci B, et al. Comparison of presence and extent of coronary narrowing in patients with left bundle branch block without diabetes melfitus to patients with and without left bundle branch block but with diabetes mellitus[J].Am J Cardiol. 2006, 97(6) :857-859.
  • 7Cademartiri F, Seitun S, Romano M, et al. Prognostic value of 64 slice coronary angiography in diabetes mellitus patients with known or suspected coronary artery disease compared with a nondiabetic population [J]. Radiol Med, 2008, 113(5) :627-643.
  • 8Gui MH, Qin GY, Ning G, et al. The comparison of coronary angiographic profiles between diabetic and nondiabetic patients with coronary artery disease in a Chinese population [J]. Diabetes Res Clin Pract, 2009, 85(2) :213-219.
  • 9Fallow GD, Singh J. The prevalence, type and severity of cardiovascular disease in diabetic and non-diabetic patients:a matched-paired retrospective analysis using coronary angiography as the diagnostic tool [J]. Mol Cell Biochern, 2004, 261 (1-2) : 263-269.
  • 10Schukro C, Syeda B, Yahya N, et al. Volumetric intravascular ultrasound imaging to illustrate the extent of coronary plaque burden in type 2 diabetic patients [J]. J Diabetes Complications, 2007, 21 (6):381-386.

共引文献36

同被引文献40

  • 1兰亚明.糖尿病合并冠心病患者药物洗脱支架术后应用氯吡格雷的疗效[J].中国老年学杂志,2015,35(1):65-68. 被引量:23
  • 2毛定飚,朱毅,滑炎卿,王鸣鹏,张国桢.冠状动脉CT成像与冠状动脉造影的比较研究[J].老年医学与保健,2005,11(1):21-23. 被引量:4
  • 3王文英,尹建华,孙桂芳.颈动脉粥样斑块与冠心病的相关性分析[J].实用心脑肺血管病杂志,2005,13(3):139-141. 被引量:1
  • 4Arnolds S, Heise T, Flacke F, et al .Common standards ofbasal insulin titration in T2DM[J]. J Diabetes Sci Tech, 2013, 7(3): 771 -788.
  • 5Tsaloglou M N, Jacobs A, Morgan H. A fluorogenie hetero- geneous immunoassay for cardiac muscle troponin cTnI on a digital microflnidic device[J]. Analytic Bioanal ytic Chem , 2014, 406(24): 5967- 5976.
  • 6Veldhuisen DJ, Linssen GCM, Jaarsma T, et al .B-type na- triuretie peptide and prognosis in heart failure patients with preserved and reduced ejection fraction [J]. J Am Coll Cardiol, 2013, 61(14) : 1498 -1506.
  • 7Kociol RD, Greiner MA, Hammill BG, et al . B-type natri- uretic peptide level and postdischarge thrombotic events in ol der patients hospitalized with heart failure: insights from the Acute Decompensated Heart Failure National Registry[J]. Am Heart J, 2012, 163(6): 994-1001.
  • 8Falcone C,Nespoli L,Ceroldi D,et al.Silent myocardial ischemiai in dia- betic and nondiabetic patients with coronary artery disease[J].lnt J Catdiol, 2003,90(3):219.
  • 9Valensi P.Silent coronary artet3 disease in diabetic patients[J].New guide- liness,2005,60(6):531-535.
  • 10中国2型糖尿病防治指南(2007年版)[J].中华医学杂志,2008,88(18):1227-1245. 被引量:954

二级引证文献53

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部