桡动脉增强指数的影响因素及其在男性冠心病者中的应用
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Influential Factors of Radial Augmentation Index and Clinical Utility of Radial Pressure Waveform in Men Patients with Coronary Artery Disease
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    摘要:

    目的研究桡动脉增强指数的性别差异及其影响因素,并对男性有冠心病者和无冠心病者外周血压和中心动脉压的变化及影响桡动脉增强指数的因素进行分析。方法采用欧姆龙HEM-9000AI桡动脉波形分析仪对122例拟行冠状动脉造影病人进行桡动脉脉搏波分析,分别获得外周血压指标和中心动脉压、桡动脉增强指数,中心动脉的脉压;以及临床、生化和超声资料。结果在无冠心病者中,女性桡动脉增强指数值大于男性(P>=0.001),经多元线性回归分析,影响桡动脉增强指数的因素包括性别、心率、身高、体重、体质指数和主动脉内径。在男性冠心病者中,中心动脉脉压、桡动脉增强指数要高于无冠心病者(P值分别为0.015和0.034),经多元线性回归分析,桡动脉增强指数与心率、左心室射血分数、中心脉压和外周脉压有关,且与前三者相关性良好。结论在无冠心病者中,女性桡动脉增强指数值高于男性;男性冠心病患者桡动脉增强指数高于无冠心病者,但与左心室射血分数有关,故用桡动脉增强指数来预测一般人群中是否患冠心病时要考虑心功能对其的影响。

    Abstract:

    Aim To study the differences in radial augmentation index (rAI) between male and female patients without coronary artery disease(CAD) and its influential factors; To assess the differences of peripheral and central pulse wave in men with CAD and without CAD and the influential factors of rAI. Methods Radial arterial waveforms were obtained from 122 subjects using Omron HEM-9000AI. Results Women had high rAI (78.55±13.01 vs 60.67±16.28,P>=0.001) than men with no CAD,multiple liner regression analysis showed that sex,heart rate,height,weight,body mass index,aortic diameter were corrected with rAI. Center pulse pressure(CPP),rAI were higher in male patients with CAD than those without CAD (61.08±20.60 mmHg vs 49.6±12.29 mmHg,P>=0.015;71.69±16.76 vs 60.67±16.28,P>=0.034),multiple liner regression analysis demonstrated that rAI were influenced by heart rate ,left ventricular ejection fraction(EF),central and peripheral pulse pressure,and corrected well with HR,EF,CPP. Conclusion Women had a higher rAI than men without CAD,CPP were also higher in men with CAD than those without CAD,and rAI is associated not only with sex ,age,height,but also influenced by HR and EF. This result suggests that enhanced rAI may not be predicted to the development of CAD in general population ,because it were also associated with cardiac function.

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叶岚,李广平,刘彤,富华颖,郑心田.桡动脉增强指数的影响因素及其在男性冠心病者中的应用[J].中国动脉硬化杂志,2010,18(4):303~306.

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  • 收稿日期:2009-11-18
  • 最后修改日期:2010-03-20
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