Influence of coronary heart disease risk factors (CHDRFs) on the natural history of coronary atherosclerosis as revealed by a post-mortem study.

Medecine interne Pub Date : 1990-01-01
C Velican, D Velican, C Stănescu
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Abstract

A postmortem study was carried out on the whole coronary arterial bed of 430 selected apparently healthy subjects, aged 38 to 65 years, in an effort to reveal the influence exerted by coronary heart disease risk factors (CHDRFs) on the development of coronary obstructive plaques. A clear positive correlation was found in 31% of cases and in more than 50% of 28 selected topographic sites of the coronary arterial bed. On the other hand, the subgroup without CHDRFs also exhibited severe coronary narrowings. Each major CHDRF seems to exert its particular action on selected regions of the coronary arterial bed: proximal or intermediate segments of the major coronary arteries; branching points; nonbranched areas; vessels supplying the conduction system, etc.

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冠心病危险因素(CHDRFs)对冠状动脉粥样硬化自然史的影响:一项尸检研究
为了揭示冠心病危险因素(CHDRFs)对冠状动脉阻塞性斑块形成的影响,对430例38 ~ 65岁表面健康的受试者进行了全冠状动脉床死后研究。在31%的病例和超过50%的冠状动脉床的28个选定的地形位置中发现明显的正相关。另一方面,没有CHDRFs的亚组也表现出严重的冠状动脉狭窄。每个主要CHDRF似乎在冠状动脉床的选定区域发挥其特定的作用:冠状动脉近端或中间段;分支点;nonbranched地区;供应传导系统等的血管。
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