| 引用本文： |
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阚丽虹,洪家旺,李纪明,等.冠状动脉扩张患者影像学特征分析[J].同济大学学报（医学版）,2017,38(5):92-95. [点击复制]
- KAN Li-hong,HONG Jia-wang,LI Ji-ming,et al.Clinical characteristics and imaging features of patients with coronary artery ectasia[J].同济大学学报（医学版）,2017,38(5):92-95. [点击复制]
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| 摘要: |
| 目的 分析冠状动脉扩张(coronary artery ectasia, CAE)患者的临床特点及冠脉造影特征。方法收集2012年7月1日至2015年6月30日共计7204例行冠状动脉造影患者的性别、年龄、BMI、吸烟、高血压病史、糖尿病史、CRP、血脂等临床资料，并记录CAE患者的造影资料。结果在7204位行冠状动脉造影检查患者中，确诊CAE者共213例，患病率为3.0％，男性占69.0％，吸烟者占37.6％，平均年龄(66.0±10.5)岁，HDL≤1.0mmol/L占32.8%，LDL≥3.4mmol/L占27.7%，CRP≥8mg/L占26.0%，合并冠脉狭窄的狭窄占59.2％，合并高血压占72.8％，合并糖尿病占23.5％，CAE合并有冠状动脉支架植入史占24.0％。292支冠状动脉存在CAE，单支血管累及多见，分布部位依次为右冠状动脉122支，前降支88支，回旋支73支，及左主干9支。CAE合并冠脉狭窄有195支血管，远高于单纯CAE的97支血管。结论CAE患病率为3.0％，男性、有高血压病史、合并冠脉狭窄者多见，右冠、单支血管累及多见。 |
| 关键词: 冠状动脉扩张 冠状动脉造影 右冠状动脉 左回旋支 左前降支 |
| DOI：10.16118/j.1008-0392.2017.05.019 |
| 投稿时间：2017-03-10 |
| 基金项目:国家自然科学基金（81370390） |
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| Clinical characteristics and imaging features of patients with coronary artery ectasia |
| KAN Li-hong,HONG Jia-wang,LI Ji-ming,CAI Zhen-rong,ZHUANG Xiao-hua,LIU Xue-bo |
| (Dept. of Cardiology, Pudong Hospital,Fudan University, Shanghai 201399, China;Trauma Center, Pudong Hospital, Fudan University, Shanghai 201399, China;Dept. of Cardiology, East Hospital, Tongji University, Shanghai 200120, China;Dept. of Cardiology, Tongji Hospital, Tongji University, Shanghai 200065, China) |
| Abstract: |
| Objective To analyze the clinical characteristics and imaging features of patients with coronary artery ectasia (CAE). MethodsTotal 7204 patients underwent angiography and coronary stents implantation from July 2012 to June 2015, among whom 213 cases were confirmed as CAE (3.0%). The clinical and imaging features of CAE patients were retrospectively analyzed. ResultsAmong 213 CAE patients, 118 cases were males and 95 were females with an average age of （66.0±10.5） years and 80 cases were smokers (37.6%). There were 126 CAE patients with coronary artery stenosis (59.2%), 155 cases with hypertension (72.8%), 50 cases with diabetes (23.5%), 51 cases with a history of coronary stent implantation (24.0%). The CAE was distributed in 292 coronary arteries and single vessel involvement was dominant. The most common location was right coronary artery (n=122, 41.8%), followed by the anterior descending branch (n=88, 30.1%), circumflex (n=73, 25.0%), and left main (n=9, 3.1%). CAE combined with coronary artery stenosis was observed in 195 vessels (66.8%), the proportion was much higher than CAE alone (n=97, 33.2%). ConclusionCoronary artery ectasia is more common in male patients, in patients with a history of hypertension and with coronary stenosis. The CAE is commonly distributed in the right coronary artery with one single coronary artery involved. |
| Key words: coronary artery ectasia coronary artery angiography right coronary artery left circumflex artery left anterior descending artery |
