Extracranial carotid atherosclerosis in patients with and without transient ischemic attacks and coronary artery disease.
Extracranial carotid atherosclerosis in patients with and without transient ischemic attacks and coronary artery disease.
复制标题
有或没有短暂性脑缺血发作和冠状动脉疾病的患者的颅外颈动脉粥样硬化。
DOI：
10.1161/01.atv.10.5.714
复制
发表时间：
1990
期刊：
影响因子：
--
通讯作者：
Crouse3rd,JR
中科院分区：
文献类型：
--
作者：
Howard,G;Ryu,JE;Evans,GW;McKinney,WM;Toole,JF;Murros,KE;Crouse3rd,JR
我们对四组住院患者的颅外颈动脉粥样硬化程度进行了B型超声评分评估：无脑血管症状和冠状动脉粥样硬化的医院对照组（HC，n = 245）;有冠状动脉粥样硬化但无脑血管症状的患者（CAD，n = 382）;短暂性脑缺血发作但无冠状动脉粥样硬化症状的患者（TIA，n = 107）;和具有短暂性脑缺血发作和症状性冠状动脉事件的患者（TIA + CAD，n = 39）。HC组的未校正B模式评分最低，CAD组居中，TIA或TIA + CAD组最高（两组之间无差异）。然而，在调整年龄（或年龄和其他危险因素）后，我们发现CAD、TIA和TIA + CAD组之间无显著差异，而HC组的调整后评分显著较低。这些数据表明：1）颈动脉粥样硬化的加重发展与TIA和CAD相关，2）冠状动脉和脑血管患者之间颅外颈动脉粥样硬化的明显差异部分归因于危险因素特征的差异（最明显的是年龄）。CAD患者颅外动脉粥样硬化的发生率可能更高，这就要求对CAD患者的脑血管评价采用较低的阈值。
We examined the extent of extracranial carotid atherosclerosis as evaluated by a B-mode ultrasound score in four groups of hospitalized patients: hospital controls free of both cerebrovascular symptoms and coronary atherosclerosis (HC, n = 245); patients with coronary atherosclerosis but without cerebrovascular symptoms (CAD, n = 382); patients with transient ischemic attacks but asymptomatic for coronary atherosclerosis (TIA, n = 107); and patients having both transient ischemic attacks and symptomatic coronary events (TIA + CAD, n = 39). The unadjusted B-mode scores were lowest for the HC group, intermediate for the CAD group, and highest for the TIA or TIA + CAD groups (no difference between these two groups). However, after adjustment for age (or age and other risk factors), we could find no significant differences among the CAD, TIA, and TIA + CAD groups, while the HC group had significantly lower adjusted scores. These data suggest that 1) accentuated development of carotid atherosclerosis is associated with both TIA and CAD and 2) the apparent differences in extracranial carotid atherosclerosis between coronary and cerebrovascular patients are partly attributable to differences in risk factor profiles (most notably age). The potentially accentuated rate of development of extracranial atherosclerosis in patients with CAD mandates a low threshold for cerebrovascular evaluation in CAD patients.
登录
查看更多内容
动脉硬化性脑血管病变部位、发生率和治疗的动脉造影研究
影响因子：
9.9
作者：
R. Bauer;S. Sheehan;N. Wechsler;J. Meyer
通讯作者：
J. Meyer
完全性中风、短暂性脑缺血发作和脑肿瘤患者颈动脉分叉的血管造影表现。
影响因子：
--
作者：
M. Harrison;J. Marshall
通讯作者：
J. Marshall
动脉粥样硬化性颈动脉狭窄的并发症
影响因子：
8.3
作者：
G. Duncan;R. Lees;R. Ojemann;S. David
通讯作者：
S. David
DOI：
10.1161/01.atv.1.4.250
发表时间：
1981-01-01
期刊：
ARTERIOSCLEROSIS
影响因子：
--
作者：
HOLME, I;ENGER, SC;STRONG, JP
通讯作者：
STRONG, JP
影响因子：
8.3
作者：
ROEDERER, GO;LANGLOIS, YE;STRANDNESS, DE
通讯作者：
STRANDNESS, DE