冠心病合并慢肾脏病3期患者冠状动脉病变特探讨.pdfVIP

Abstract Background and Objective The incidences of Coronary atherosclerosis heart disease (CAD) and Chronic kidney disease (CKD) have increased gradually in recent years. They are becoming serious healt h problem. The relationship between them is closely. Clinical studies have shown: patient s in renal dysfunction with significantly higher incidence of cardiovascular events . CKD seems to be an independent risk factor for multivessel cardiovascular disease. Patients with GFR values below 60 ml/min/1.73 ㎡ are predisposed to accelerated, multivessel cardiovas cular disease .This study sought to probe into coronary artery lesions features of Coronar y atherosclerosis heart disease patients combined chronic kidney disease 3 stage through coronary arteriography and coronary CT angiography （CCTA ），which are commonly used in clinical. Materials and methods 119 patients were chosen in Department of Vasculocardiology of the Second Affiliate d Hospital, Shantou University Medical College from January 2012 to April 2013, whom had underwent coronarography. Patients were divided into two categories: normal or mil dly impaired renal function gourp (n=79)(eGFR ≥60 mL/min/1.73 m 2 ) and combined C KD 3 stage group (n=40)(eGFR 30–59 mL/min/1.73 m 2 ) based on the K/DOQI guideli nes for classification. According the result of imaging analysis the number of lesion vess els of two groups ; According to Gensini coronary scoring system to calculate the total score of coronary stenosis，analysis CKD3 with coronar