血脂模式作为血管造影评估冠状动脉疾病严重程度的指标。

Artery Pub Date : 1993-01-01
R Uccella, P Donnini, I Franzetti, M Gaiazzi
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引用次数: 0

摘要

在这项研究中,我们比较了血浆脂质和载脂蛋白模式作为血管造影确定的冠状动脉疾病程度预测因子的相对效用。脂质和载脂蛋白值与冠状动脉评分进行多重逐步分析,确定如下:至少1个冠状动脉系统(左、前、降、旋、右)狭窄>/= 25% 1点,累及血管数1,2,3,....辅助点;连续病变+1分;< = %50%狭窄+1点;75- 95% +2分;> 95% +3分。统计分析表明,总胆固醇、高密度脂蛋白胆固醇占总胆固醇的百分比以及低密度脂蛋白和高密度脂蛋白胆固醇之间的差异对疾病程度有很强的影响。我们认为,在预测冠心病的扩展时,了解总胆固醇在血浆载脂蛋白系统中的分布是很重要的。
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Serum lipid pattern as severity indicator of angiographically assessed coronary artery disease.

In this study we compared the relative utility of plasma lipid and apolipoprotein pattern as predictor of extent of Coronary Artery Disease as angiographically established. The lipid and apolipoprotein values were plotted in multiple stepwise analysis against coronary score determined as follows: at least 1 coronary artery system (left, anterior, descendent, circumflex, right) with a >/= 25% stenosis 1 point, number of involved vessel 1, 2, 3, .... adjunctive points; sequential lesions +1 point; < = %50% stenosis +1 point; 75-95 % +2 points; > 95% +3 points. The statistical analysis demonstrate a strong influence on extent of disease by total-cholesterol, % HDL-cholesterol on total cholesterol and by the difference between LDL and HDL-cholesterol. We conclude that, in predicting the extension of CAD, is important to know how total cholesterol is distributed in plasma apolipoprotein system.

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