冠心病合并肾动脉狭窄的发生率及危险因素Incidence and predictors of renal artery stenosis in patients with coronary artery disease
仇兴标,方唯一,陈晖,倪幼方,陈剑玲,袁方,高东升,潘欣,马建伟,叶颖,徐蕾,关韶峰
摘要(Abstract):
目的探讨冠心病合并肾动脉狭窄的发生率及危险因素。方法回顾性分析2003年5月至2004年8月期间造影证实冠心病同时行肾动脉造影患者的临床资料及影像学资料。结果350例冠心病中48例患者合并有肾动脉单侧或双侧显著性狭窄(直径狭窄≥50%),发生率为13.7%。多因素Logistic回归分析显示:年龄≥70岁、血肌酐≥120μmolL、高血压及冠状动脉多支病变是预测冠心病合并肾动脉狭窄的危险因素。结论冠心病患者合并肾动脉狭窄的发生率较高,对其行冠状动脉造影检查的同时应常规行肾动脉造影检查以检出合并的肾动脉狭窄。
关键词(KeyWords): 冠状动脉疾病;肾动脉梗阻;危险因素
基金项目(Foundation):
作者(Author): 仇兴标,方唯一,陈晖,倪幼方,陈剑玲,袁方,高东升,潘欣,马建伟,叶颖,徐蕾,关韶峰
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