摘要
目的:探讨无明显心血管病(CVD)临床症状,有高甘油三酯(TG≥1.60mmol/L),低高密度脂蛋白胆固醇(HDL-C≤1.18mmol/L),静息心电图缺血型ST-T改变与冠心病(CAD)的关系。方法:对无明显CVD临床症状,有高TG/低HDL-C血症的550例[其中静息ECG有缺血型ST-T改变者250例(A组),无缺血型ST-T改变者300例(B组)]进行2年随访对比观察,观察其的CAD发生率和死亡率。结果:2年随访期中,A组的CAD的发生率为16.00%,死亡率为3.20%;均显著高于B组的CAD发生率(2.00%),死亡率(0.66%),P均<0.001。结论:结果显示无明显CVD临床症状,有高TG/低HDL-C血症,伴有静息ECG缺血型ST-T改变对冠心病的危险性更大。
Objective： To study the correlation among serum level of high triglycerides/low high density lipoproteincholesterol, electrocardiogram ischemic ST--T changes and coronary artery disease （CAD）. Methods： A total of 550 persons free of clinical symptom of CAD, but with serum level of high TG （TG≥1. 60mmol/L） / low HDL （HDL≤ 1.18mmol/L） [in which 250 cases with ischemic ST-T change in resting electrocardiogram （group A）, 300 cases without ischemic ST--T change in resting electrocardiogram （group B）] were observed for CAD incidence and mortality in two years. Results： During two years, CAD incidence （16.00%）, mortality （3.20%） in group A were more than those of group B （2.00%, 0.66% respectively）, P〈0. 001 all. Conclusion： In persons free of clinical symptom of CAD, but with serum level of high TG/ low HDL, the ischemic ECG changes indicated more risk for coronary artery disease.
出处
《心血管康复医学杂志》
CAS
2010年第4期442-443,共2页
Chinese Journal of Cardiovascular Rehabilitation Medicine
关键词
甘油三酯
脂蛋白类
HDL
心肌缺血
冠状动脉疾病
Triglycerides
Lipoproteins, HDL
Myocardial ischemia
Coronary artery disease.
