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頁籤選單縮合
題名 | Low Prevalence of Coronary Arterial Disease in Chinese Adults with Mitral Stenosis=風濕性二尖瓣狹窄之中國成年病患具低冠狀動脈疾病罹病率 |
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作者 | 褚柏顯; 江正文; 許隆安; 林圀宏; 鄭乃仁; 郭啟泰; Chu, Po-hsien; Chiang, Cheng-wen; Hsu, Long-an; Lin, Kuo-hong; Cheng, Nye-jan; Kuo, Chi-tai; |
期刊 | 長庚醫學 |
出版日期 | 20010200 |
卷期 | 24:2 2001.02[民90.02] |
頁次 | 頁97-102 |
分類號 | 415.3161 |
語文 | eng |
關鍵詞 | 風溼性二尖瓣狹窄; 冠狀動脈疾病; 二尖瓣氣球擴張術; 經皮下冠狀動脈擴張術; Mitral stenosis; Coronary artery disease; Balloon mitral commissurotomy; Percutaneous transcoronary angioplasty; |
英文摘要 | Background: We attempted to evaluate the prevalence of coronary artery disease in Chinese adults with severe rheumatic mitral stenosis. Methods: We prospectively performed coronary angiography in 119 consecutive Chinese patients older than 40 years old (mitral valve area less than 1.5 cm2) who were about to undergo balloon mitral commissurotomy for significant rheumatic mitral stenosis. The exclusion criteria were the presence of left atrial cavitary thrombi or mitral regurgitation greater than grade 3. Results: There were 32 men (26%) and 87 women (74%) with a mean age of 55!O9.7 years (ranging from 40 to 78). Ninety-two patients (77%) were in atrial fibrillation. The prevalence of risk factors for atherosclerotic cardiovascular disease were hypertension (22%), diabetes mellitus (4%), hypercholesterolemia 3 240 mg/dL (5%), hypertriglyceridemia 3 150 mg/dL (13%), and cigarette use (7%). Coronary artery disease on angiography was defined as stenosis of more than 50% of the luminal diameter. We found that only 2 patients (1.7 %) had coronary artery disease. Conclusion: The prevanlence of coronary artery disease was much lower than in previous reports, some of which, however, had already pointed out the relatively low prevalence of coronary artery disease in rheumatic mitral disease. The definite mechanisms require further study.(Chang Gung Med J 2001;24:97-102) |
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