幽门螺杆菌血清阳性与冠状动脉粥样硬化严重程度的关系

Salah Hassan Yousif
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摘要

背景:对多种文献的回顾表明,感染是冠状动脉粥样硬化的危险因素,许多医学研究者报道,幽门螺杆菌的发病机制超越了胃肠道系统,是炎症性动脉粥样硬化的危险因素,包括冠状血管的动脉粥样硬化。目的:探讨血幽门螺杆菌血清阳性与冠状动脉粥样硬化严重程度的关系。患者与方法:本研究共收集了125例患者,包括男女,不同年龄组,均在伊拉克埃尔比勒市心脏中心医院住院。根据症状及主要的心脏诊断工具怀疑患者有冠状动脉粥样硬化,在医院导管实验室行血管造影以确认或排除冠状动脉病变。采用酶联免疫吸附试验(ELIZA)仪对患者组和对照组进行c反应蛋白(CRP)和幽门螺杆菌IgG抗体检测。冠状动脉造影根据血管数量和管腔狭窄程度确认动脉粥样硬化的存在及其严重程度。结果:结果显示,大多数动脉粥样硬化患者(83.5%)c反应蛋白水平较高。同时,根据本研究幽门螺杆菌的结果,发现幽门螺杆菌浓度与狭窄血管数量呈正相关。结论:幽门螺杆菌对冠状动脉粥样硬化的严重程度有显著的预测作用。然而,关于这一事实的证据并不充分,需要进一步的研究。
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Helicobacter pylori Seropositivity and the Severity of Coronary Artery Atherosclerosis
Background: A review of many kinds of literature has suggested the theory of infections to are a risk for atherosclerosis of the coronaries, many of medical researchers reported that Helicobacter pylori pathogenesis extends beyond the gastrointestinal system to be a risk factor for inflammatory-induced atherosclerosis including that of the coronary vessels. Objective: To detect a relationship between the seropositivity of Helicobacter pylori bacteria in the blood with the severity of coronary artery atherosclerosis. Patients and Methods: A total of 125 patients were taken in this study including both sex male and female with different age groups all of them admitted to cardiac center hospital in Erbil City in Iraq. Patients were suspected to have coronary artery atherosclerosis based on symptoms and primary cardiac diagnostic tools, Angiography was performed to confirm or exclude coronary artery lesions by catheterization in the cath lab of the hospital. Blood samples were taken from patients including the patients’ group and control group and a C-reactive protein (CRP) test with Helicobacter pylori IgG antibody test was done for them by using an Enzyme-linked immunosorbent assay (ELIZA) apparatus. Coronary angiography Confirmed the presence of atherosclerosis and the severity of it according to the number of vessels and the degree of luminal stenosis. Results: The results show that the most of patients with atherosclerosis (83.5%) a high level of C-reactive protein. Also, a positive significant correlation was detected between the Helicobacter pylori concentration and the number of narrowed vessels based on the results of this study Helicobacter pylori. Conclusion: According to the results Helicobacter pylori has a significant risk predictor for the severity of coronary atherosclerosis. However, evidence on this fact is not sufficient which further studies are needed.
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