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題 名 | Ankle-Brachial Pressure Index Measured Using an Automated Oscillometric Method as a Predictor of the Severity of Coronary Atherosclerosis in Patients with Coronary Artery Disease=以自動化脈衝式的方法所測得的踝臂血壓比可當做冠狀動脈病人動脈硬化嚴重度的指標 |
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作 者 | 蘇河名; 溫文才; 林宗憲; 李坤泰; 朱志生; 李明義; 許勝雄; 賴文德; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 20:6 2004.06[民93.06] |
頁 次 | 頁268-272 |
分類號 | 415.384 |
關鍵詞 | 踝臂血壓比; 冠狀動脈疾病; 周邊動脈阻塞性病變; Ankle-brachial pressure index; Coronary artery disease; Peripheral arterial occlusive disease; |
語 文 | 英文(English) |
中文摘要 | 以傳統都卜勒的方法所測得的踝臂血壓比已報告過可做為冠狀動脈嚴重度的指標。最近,有一個新的儀器發明,可用自動化脈衝式的方法來測量踝臂血壓比。但是用此種儀器測量的踝臂血壓比是否也可當做冠狀動脈嚴重度的指標,仍不清楚。我們從門診回溯性地收了 87 位已做過心導管檢查的病人。我們以新的 ABI-form 的儀器為每一位病人測量踝臂血壓比,並以兩側較低一側的值當作分析的數值。我們將病人分為兩組,一組為踝臂血壓比大於或等於 0.9、另一組為踝臂血壓比小於 0.9,並比較這兩組病人的基本資料。我們也分析這兩組病人其踝臂血壓比和冠狀動脈嚴重度的關係。此外,我們計算踝臂血壓比小於 0.9 在預測多條血管病變的敏感度、特異度、陽性預測值和陰性預測值。87 位病人有 15 位病人的踝臂血壓比小於 0.9,有 72 位病人的踝臂血壓比大於或等於 0.9。踝臂血壓比小於 0.9 的病人年紀較大、尿酸較高;糖尿病、高血壓、抽煙、利尿劑使用的盛行率較高。除此之外,踝臂血壓比小於 0.9 的病人一條血管病變的盛行率較低,而三條或多條血管病變的盛行率較高。踝臂血壓比小於 0.9 在預測多條血管病變的敏感度、特異度、陽性預測值和陰性預測值分別為 22%、96%、93% 和 34%。結論,以此自動化脈衝式的方法所測得的踝臂血壓比可當做冠狀動脈病人動脈硬化嚴重度的指標。 |
英文摘要 | Ankle-brachial pressure index (ABI) measured using a conventional Doppler method is an independent predictor of the number of coronary vessels affected in coronary artery disease (CAD). Recently, a new clinical device has been developed to measure ABI using an oscillometric method. It is unclear whether ABI measured using this device is a significant predictor of the severity of coronary atherosclerosis. We retrospectively included 87 patients from our outpatient clinic who had ever undergone coronary angiography. ABI was determined in all subjects using the new ABI-form device. The lower value of ABI in either limb was used for analysis. We divided our subjects into two groups, with either ABI less than 0.9 or at least 0.9, and compared basal characteristics between groups. We analyzed the relationship between ABI and the severity of CAD. In addition, we calculated the sensitivity, specificity, and positive and negative predictive values of ABI less than 0.9 in predicting multivessel (two-vessel + three-vessel) involvement in our patients. There were 15 patients with ABI less than 0.9 and 72 with ABI at least 0.9. Patients with ABI less than 0.9 were older and had higher plasma levels of uric acid. The prevalence of diabetes mellitus, hypertension, smoking, and diuretic use was significantly higher in patients with ABI less than 0.9. In addition, the group with ABI less than 0.9 had a lower prevalence of one-vessel CAD and higher prevalence of three-vessel or multivessel CAD. The sensitivity, specificity, and positive and negative predictive values of ABI less than 0.9 in predicting multivessel CAD were 22%, 96%, 93%, and 34%, respectively. In conclusion, ABI measured using the automated oscillometric method can be used to predict the severity of coronary atherosclerosis in patients with CAD. |
本系統中英文摘要資訊取自各篇刊載內容。