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稳定型心绞痛患者与急性冠状动脉综合征患者动脉粥样硬化斑块血管内超声对比

金泽宁 汪国忠 胥学伟 吕树铮 陈韵岱 苑飞 宋现涛 吴小凡 张丽洁 任芳 葛长江

中国动脉硬化杂志2009,Vol.17Issue(3):217-219,3.
中国动脉硬化杂志2009,Vol.17Issue(3):217-219,3.

稳定型心绞痛患者与急性冠状动脉综合征患者动脉粥样硬化斑块血管内超声对比

Intravascular Ultrasound Comparison of Atherosclerosis Plaque Between Acute Coronary Syndrome and Stable Angina Pectoris

金泽宁 1汪国忠 1胥学伟 1吕树铮 1陈韵岱 2苑飞 1宋现涛 1吴小凡 1张丽洁 1任芳 1葛长江1

作者信息

  • 1. 首都医科大学附属北京安贞医院心内科,北京市心肺血管疾病研究所,北京市,100029
  • 2. 中国人民解放军总医院心内科,北京市,100853
  • 折叠

摘要

Abstract

Aim To delineate the plaque morphologic characteristics among stable angina pectoris (SAP) and a-cute coronary syndrome (ACS) by intravascular ultrasound (IVUS). Method 51 SAP patients with 63 vessels were recruited and 32 ACS patients with 46 vessels were checked by IVUS. Plaques were divided into soft, fibrous, calcified. The IVUS results of plaque compositions detection were compared between SAP and ACS. Results The ration of soft plaque, extent of remodeling index, external elastic membrane area (EEMA), plaque burden (PB), plaque rupture increased in ACS group. Thrombosis detection rate were not statisticly different between two groups. Conclusion The criteria of soft plaque located in the proximal part of main coronary branches or any detected soft plaque with positive remodeling index and minimal lumen area≤4 mm<'2> predicted the vulnerable plaque in ACS and deserved the aggressive treatment.

关键词

稳定型心绞痛/急性冠状动脉综合征/血管内超声/动脉粥样硬化斑块

Key words

Unstable Angina Pectoris/Acute Coronary Syndrome/Intravascular Ultrasound/Atherosclerosis Plaque

分类

医药卫生

引用本文复制引用

金泽宁,汪国忠,胥学伟,吕树铮,陈韵岱,苑飞,宋现涛,吴小凡,张丽洁,任芳,葛长江..稳定型心绞痛患者与急性冠状动脉综合征患者动脉粥样硬化斑块血管内超声对比[J].中国动脉硬化杂志,2009,17(3):217-219,3.

基金项目

北京市科委高科技战略主题计划基金项目(D0906006040191)和北京市科技新星计划基金项目(2006B01) (D0906006040191)

中国动脉硬化杂志

OA北大核心CSCDCSTPCD

1007-3949

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