踝臂指数与冠状动脉狭窄程度的关系.pdfVIP

Research Articles 140 837 553 284 59.319.85 . Gensini ABI ABI ≤0.9 ABI ABI Gensini ABI PAD ABI The relationship between ankle-brachial index and the extent of coronary atherosclerosis lesions Zhang yin, Bian jin, Sun yu, Song ying, Wu yajie, Chen yi, Feng xinxing, Wang yilu, Gao shuo, Wang jizheng, Zou yubao, Song lei,Yuan jinqing, Hui rutai, Sun kai. State Key Laboratory of Cardiovascular Disease, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100037, Peoples Republic of China AbstractObjective To determine the relation between ankle–brachial index (ABI) and extent of coronary atherosclerosis. Methods In this cross-sectional descriptive-analytic research, 837 patients with suspected CAD were investigated. Characteristics of studied subjects including demo- graphics, familial history, past medical history and atherosclerotic risk factors such as diabetes mellitus, hypertension, hyperlipidemia and smoking were obtained using a standard questionnaire. ABI was measured in all studied patients. ABI ≤ 0.9 was considered as peripheral vessel disease and ABI 0.9 was considered as normal. Then, all studied patients underwent coronary artery angiography. Results ABI ≤ 0.9 was seen in 68 patients (8.1%). The prevalence of atherosclerotic risk factors was signifi cantly higher in ABI≤ 0.9 patients than in ABI 0.9. ABI≤ 0.9 patients had more 2 signifi cant stenosis than ABI 0.9 ones. Conclusion The fi ndings of this research indicated that ABI could be a useful method in assessing both the 1 0 atherosclerotic risk factors and the degree of coronary involvements in suspected patients. 2 e n u J Key wordsAnkle brachial index;