心外膜脂肪厚度對急性冠狀動脈綜合征的診斷價值
發(fā)布時間：2019-01-03 21:06
【摘要】：目的 探討心外膜脂肪厚度對急性冠狀動脈綜合征(ACS)的診斷價值。方法 選擇120例ACS患者,其中單支病變、雙支病變、多支病變各40例;另擇心功能正常的健康人40例作為對照組。采用彩色多普勒超聲診斷儀測定入選者心外膜脂肪厚度,采用受試者工作特征曲線(ROC)分析心外膜脂肪厚度對ACS的診斷價值。結(jié)果ACS單支病變、雙支病變、多支病變患者的心外膜脂肪厚度均明顯高于對照組(P均0.01)。單支、雙支、多支病變患者的心外膜脂肪厚度呈遞增趨勢,三組間比較有統(tǒng)計學(xué)差異(P均0.05)。ROC分析顯示,心外膜脂肪厚度對ACS單支病變、雙支病變、多支病變診斷的AUC值分別為0.697、0.814、0.837。結(jié)論 超聲心動圖測定的心外膜脂肪厚度與ACS病變程度有關(guān),對ACS雙支病變和多支病變具有較好的診斷價值。
[Abstract]:Objective to evaluate the diagnostic value of epicardial fat thickness in acute coronary syndrome (ACS). Methods 120 patients with ACS were selected, including 40 patients with single vessel disease, 40 patients with double vessel disease and 40 patients with multiple vessel disease, and 40 healthy persons with normal cardiac function as control group. The epicardial fat thickness was measured by color Doppler ultrasound, and the diagnostic value of epicardial fat thickness to ACS was analyzed by using the operating characteristic curve (ROC). Results the thickness of epicardial fat in ACS patients with single vessel disease, double vessel disease and multivessel lesion was significantly higher than that in control group (P 0.01). The thickness of epicardial fat in patients with single vessel, double vessel and multiple vessel lesions showed an increasing trend, and there were significant differences among the three groups (all P 0. 05). ROC analysis showed that epicardial fat thickness was associated with single vessel lesion and double vessel lesion of ACS, P < 0. 05). The AUC values of multivessel lesions were 0. 697 鹵0. 814 and 0. 837 respectively. Conclusion the thickness of epicardial fat measured by echocardiography is related to the degree of ACS lesions. It has a good value in the diagnosis of double vessel lesions and multivessel lesions of ACS.
【作者單位】： 衡水市哈勵遜國際和平醫(yī)院;
【分類號】：R541.4
本文編號：2399871
[Abstract]:Objective to evaluate the diagnostic value of epicardial fat thickness in acute coronary syndrome (ACS). Methods 120 patients with ACS were selected, including 40 patients with single vessel disease, 40 patients with double vessel disease and 40 patients with multiple vessel disease, and 40 healthy persons with normal cardiac function as control group. The epicardial fat thickness was measured by color Doppler ultrasound, and the diagnostic value of epicardial fat thickness to ACS was analyzed by using the operating characteristic curve (ROC). Results the thickness of epicardial fat in ACS patients with single vessel disease, double vessel disease and multivessel lesion was significantly higher than that in control group (P 0.01). The thickness of epicardial fat in patients with single vessel, double vessel and multiple vessel lesions showed an increasing trend, and there were significant differences among the three groups (all P 0. 05). ROC analysis showed that epicardial fat thickness was associated with single vessel lesion and double vessel lesion of ACS, P < 0. 05). The AUC values of multivessel lesions were 0. 697 鹵0. 814 and 0. 837 respectively. Conclusion the thickness of epicardial fat measured by echocardiography is related to the degree of ACS lesions. It has a good value in the diagnosis of double vessel lesions and multivessel lesions of ACS.
【作者單位】： 衡水市哈勵遜國際和平醫(yī)院;
【分類號】：R541.4
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