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Evaluation of ultrasonography on carotid arteries and left ventricular function in patients with subclinical atherosclerosis

机译:超声对亚临床动脉粥样硬化患者颈动脉和左心室功能的评价

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摘要

Ultrasonography in the evaluation and diagnosis of carotid arteries and left ventricular function in patients with subclinical atherosclerosis (SA) was explored. In total, 152 patients with no obvious clinical symptoms of atherosclerosis confirmed by carotid ultrasonography in Tengzhou Central People's Hospital from September 2015 to March 2016 were enrolled as the experimental group, and further 45 patients with normal physical examination at the same time were collected as the control group. Patients in the experimental group were divided into three groups according to Framingham risk assessment: low, middle and high risk. The carotid arteries and left ventricular function of all patients were detected by Doppler ultrasound. There were differences in the systolic pressure, TG and TC between the control group and the experimental group (P<0.05). The expression levels of β, cIMT, Ep and PWVβ increased with the risk degree in the low, middle and high risk groups (P<0.05). The expression levels of LVEDV, LVESV, and LVEF in the experimental group were significantly decreased compared with those in the control group (P<0.05), while the expression levels of LAV, E/e, GLS and GCS were significantly increased compared with those in the control group (P<0.05). There was a difference of left ventricular function parameters in the low, medium and high risk groups (P<0.05). The expression levels of LVEDV, LVESV, LAV and E/e increased with the risk degree in the low, middle and high risk groups (P<0.05). The detection rate of plaque was lower in the low risk group than those in the middle and high risk group (P<0.05). By observing the parameters of carotid arteries and left ventricular function, it was found that ultrasonography has important clinical value in the early diagnosis of SA, and can be promoted in clinic.
机译:探索了超声在亚临床动脉粥样硬化(SA)患者颈动脉和左心室功能的评估和诊断中的作用。选取2015年9月至2016年3月在滕州市中心人民医院经颈动脉超声检查确诊无明显动脉粥样硬化临床症状的152例患者作为实验组,同时收集45例同时体检正常的患者作为实验组。控制组。根据弗雷明汉风险评估,实验组的患者分为三组:低,中和高风险。多普勒超声检查所有患者的颈动脉和左心室功能。对照组和实验组之间的收缩压,TG和TC存在差异(P <0.05)。在低,中,高危人群中,β,cIMT,Ep和PWVβ的表达水平随患病程度的升高而升高(P <0.05)。与对照组相比,实验组LVEDV,LVESV和LVEF的表达水平明显降低(P <0.05),而LAV,E / e,GLS和GCS的表达水平则明显高于对照组。对照组(P <0.05)。低,中,高危人群左心室功能参数存在差异(P <0.05)。在低,中,高危人群中,LVEDV,LVESV,LAV和E / e的表达水平随危险程度的增加而升高(P <0.05)。低危组的斑块检出率低于中高危组(P <0.05)。通过观察颈动脉的参数和左心室功能,发现超声检查对SA的早期诊断具有重要的临床价值,可在临床上推广。

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