对急性心肌梗死患者应用血管造影肾动脉狭窄患病率分析Prevelence of renal artery stenosis in patients with actue myocardial infarction
郑斌,颜红兵,程姝娟,王健,赵汉军,李庆祥,李世英,宋莉
摘要(Abstract)：
目的调查了解急性心肌梗死患者粥样硬化性肾动脉狭窄(ARAS)的患病率。方法采用2008年8月至2009年3月,北京安贞医院28病区231例急性心肌梗死患者在接受冠状动脉造影时接受选择性肾动脉造影的病历资料进行分析。结果肾动脉正常者149例,ARAS(≥50%)53例(占入选患者22.9%),单侧ARAS36例(左、右侧各18例,共占入选患者15.6%),双侧ARAS17例(占入选患者7.4%)。经logistic回归分析,年龄、高血压、缺血性脑卒中和血清肌酐异常是ARAS预测因素,而冠状动脉病变血管支数不是ARAS预测因素。结论部分急性心肌梗死患者同时合并ARAS;对于合并有前述预测因素者,在冠状动脉造影时有必要作肾动脉造影。
关键词(KeyWords)： 外周血管疾病;冠状动脉狭窄;急性心肌梗死
基金项目(Foundation):
作者(Author): 郑斌,颜红兵,程姝娟,王健,赵汉军,李庆祥,李世英,宋莉
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