Stanford type B aortic dissection is more frequently associated with coronary artery atherosclerosis than type A.
Stanford type B aortic dissection is more frequently associated with coronary artery atherosclerosis than type A.
复制标题
斯坦福大学主动脉解剖比冠状动脉动脉粥样硬化更常见于冠状动脉动脉粥样硬化。
DOI：
10.1186/s13019-018-0765-y
复制
发表时间：
2018-06-27
影响因子：
1.6
通讯作者：
Masuda M
中科院分区：
文献类型：
--
作者：
Hashiyama N;Goda M;Uchida K;Isomatsu Y;Suzuki S;Mo M;Nishida T;Masuda M
主动脉夹层与冠状动脉疾病之间的关系尚不清楚。本研究的目的是通过回顾我们的机构数据库来阐明斯坦福 A 型和 B 型主动脉夹层之间冠状动脉粥样硬化发生率的差异。本研究纳入2000年至2002年住院期间接受冠状动脉造影的急性主动脉夹层患者145例（男78例，女67例；平均年龄：60±12岁）。比较A型夹层（A组；n = 71例）和B型夹层（B组；N = 74例）患者的背景特征、冠状动脉危险因素和冠状动脉造影结果（显着狭窄数量、根据Bogaty标准的狭窄、程度指数）。 B组有缺血性心脏病并发症史的患者明显多于A组（P = 0.04），与观察到的除高血压以外的其他危险因素相比，没有显着差异。 B 组 (1.54±0.04) 明显多于 A 组 (0.38±0.1) (p = 0.005)。 B组冠状动脉粥样硬化严重程度指数评分（1.49±0.09）显着高于A组（0.72±0.07）（P＜0.05）。斯坦福 B 型急性主动脉夹层与冠状动脉粥样硬化的相关性明显高于 A 型。
The relationship between aortic dissection and coronary artery disease is not clear. The purpose of this study was to clarify the difference in the rate of coronary artery atherosclerosis between Stanford type A and type B aortic dissection by reviewing our institutional database. One hundred and forty-five patients (78 males, 67 females; mean age: 60 ± 12 years) admitted to our hospital with acute aortic dissection who underwent coronary angiography during hospitalization from 2000 through 2002 were enrolled in this study. The background characteristics, coronary risk factors, and coronary angiography findings (number of significant stenoses, stenoses according to Bogaty standards, extent index) of patients were compared between type A (Group A; n = 71) and type B dissection (Group B; N = 74). Significantly more patients had prior histories of complications from ischemic heart disease in Group B than in Group A (P = 0.04), with no significant differences in comparison to other risk factors observed except for hypertension. Significantly (p = 0.005) more stenoses were observed in Group B (1.54 ± 0.04) than in Group A (0.38 ± 0.1). A significantly higher (P < 0.05) index score indicating the severity of coronary atherosclerosis was observed in Group B (1.49 ± 0.09) than in Group A (0.72 ± 0.07). Stanford type B acute aortic dissection was significantly more frequently associated with coronary artery atherosclerosis than type A.
登录
查看更多内容
影响因子：
2.8
作者：
Kosuge, Masami;Uchida, Keiji;Kimura, Kazuo
通讯作者：
Kimura, Kazuo
影响因子：
0.6
作者：
Chau, Katherine;Elefteriades, John A.
通讯作者：
Elefteriades, John A.
影响因子：
24
作者：
Pape, Linda A.;Awais, Mazen;O'Gara, Patrick
通讯作者：
O'Gara, Patrick
DOI：
10.1016/j.jtcvs.2016.10.064
发表时间：
2017-03-01
影响因子：
6
作者：
Waterford, Stephen D.;Di Eusanio, Marco;Khoynezhad, Ali
通讯作者：
Khoynezhad, Ali
影响因子：
2.8
作者：
Raghupathy, Arun;Nienaber, Christoph A.;Bossone, Eduardo
通讯作者：
Bossone, Eduardo