摘要
目的探讨心脏瓣膜病(HVD)患者术前行冠脉造影检查的指征。方法回顾性分析我院40岁以上因心脏瓣膜病拟行瓣膜手术的868例患者术前冠脉造影检查资料。结果男性伴发冠心病高于女性,发病的年龄较女性低,在选择瓣膜病患者进行冠脉造影检查时,应充分考虑是否并发有冠心病发病危险因素,不同部位瓣膜病变的冠心病发生率相仿。结论50岁以上尤其是男性心脏瓣膜病患者易合并冠心病,或冠心病引起瓣膜病变,尤其是左房室瓣关闭不全;故50岁以上瓣膜手术的患者术前应常规行冠脉造影;40～50岁心脏瓣膜病患者虽不需常规行冠脉造影,但如具备多个冠心病危险因素(如高血压、糖尿病、严重肥胖、吸烟、家属病史等),或者术前有明显冠心病症状,条件允许也建议行冠脉造影排除冠心病。
Objective To analyze the prevalence of heart valve diseases （HVD） combining with coronary artery diseases （CAD） and to determine indications. Methods Coronary angiography was performed before valve surgery for 868 patients by collecting all such cases in our hospital. Results Male patients with valve diseases had a higher incidence of CAD than female patients. When preparing to do coronary angiography before valve surgery, we should pay attention to whether this patient had some risk factors of CAD in order to avoid omitting CAD. Patients with all kinds of valve diseases had similar incidence of CAD. Conclusion Male patients with heart valve diseases older than 50 have a high incidence of CAD. So these patients should be performed coronary angiography. Patients under 50 do not be performed coronary angiography as routine. But if they have some risk factors of CAD such as hypertention, diabetes, obesity, history of cigarette smoking, family history and so on, they should have coronary angiography performed to rule out the possibility of CAD.
出处
《实用心脑肺血管病杂志》
2008年第11期11-13,共3页
Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease
关键词
心脏瓣膜疾病
冠状动脉疾病
外科手术
Heart valve disease
Coronary disease
Surgical procedures, operative
