中华老年心脑血管病杂志
中華老年心腦血管病雜誌
중화노년심뇌혈관병잡지
Chinese Journal of Geriatric Heart Brain and Vessel Diseases
2015年
9期
949-952
,共4页
彭红玉%吕志阳%柳景华%郑绪伟%章新新
彭紅玉%呂誌暘%柳景華%鄭緒偉%章新新
팽홍옥%려지양%류경화%정서위%장신신
超声心动描记术%冠心病%冠状血管造影术%ROC曲线%C反应蛋白质
超聲心動描記術%冠心病%冠狀血管造影術%ROC麯線%C反應蛋白質
초성심동묘기술%관심병%관상혈관조영술%ROC곡선%C반응단백질
echocardiography%coronary disease%coronary angiography%ROC curve%C-reactive pro-tein
目的:评价经胸超声心动图(TTE)测量心脏外膜脂肪(EAT)厚度与老年冠心病患者的相关性和预测价值。方法将77例年龄≥60岁的患者根据冠状动脉造影诊断分为冠心病组57例和非冠心病组20例。T T E测量EA T厚度,比较2组临床资料及EA T厚度的差异,并利用logistic回归模型和ROC曲线分析EA T厚度与冠心病的关系及诊断价值。结果冠心病组 EAT 厚度明显高于非冠心病组[(5.26±1.77) mm vs (3.60±1.03)mm , P=0.000)]。冠心病组EAT厚度≥4.14 mm比例明显高于非冠心病组(71.9% vs 25.0%,P=0.000)。logistic回归分析显示,EA T厚度增加(OR=6.009,95% C I:1.436~25.148,P=0.014)是冠心病的1项独立危险因素。EAT厚度≥4.14 mm诊断冠心病的敏感性为71.9%,特异性为75.0%,ROC曲线下面积为0.783(95% CI:0.678~0.889,P<0.01)。结论老年人采用TTE测量的EAT厚度与冠心病发生密切相关,其可作为老年冠心病筛查的一种有效的无创检查方法。
目的:評價經胸超聲心動圖(TTE)測量心髒外膜脂肪(EAT)厚度與老年冠心病患者的相關性和預測價值。方法將77例年齡≥60歲的患者根據冠狀動脈造影診斷分為冠心病組57例和非冠心病組20例。T T E測量EA T厚度,比較2組臨床資料及EA T厚度的差異,併利用logistic迴歸模型和ROC麯線分析EA T厚度與冠心病的關繫及診斷價值。結果冠心病組 EAT 厚度明顯高于非冠心病組[(5.26±1.77) mm vs (3.60±1.03)mm , P=0.000)]。冠心病組EAT厚度≥4.14 mm比例明顯高于非冠心病組(71.9% vs 25.0%,P=0.000)。logistic迴歸分析顯示,EA T厚度增加(OR=6.009,95% C I:1.436~25.148,P=0.014)是冠心病的1項獨立危險因素。EAT厚度≥4.14 mm診斷冠心病的敏感性為71.9%,特異性為75.0%,ROC麯線下麵積為0.783(95% CI:0.678~0.889,P<0.01)。結論老年人採用TTE測量的EAT厚度與冠心病髮生密切相關,其可作為老年冠心病篩查的一種有效的無創檢查方法。
목적:평개경흉초성심동도(TTE)측량심장외막지방(EAT)후도여노년관심병환자적상관성화예측개치。방법장77례년령≥60세적환자근거관상동맥조영진단분위관심병조57례화비관심병조20례。T T E측량EA T후도,비교2조림상자료급EA T후도적차이,병이용logistic회귀모형화ROC곡선분석EA T후도여관심병적관계급진단개치。결과관심병조 EAT 후도명현고우비관심병조[(5.26±1.77) mm vs (3.60±1.03)mm , P=0.000)]。관심병조EAT후도≥4.14 mm비례명현고우비관심병조(71.9% vs 25.0%,P=0.000)。logistic회귀분석현시,EA T후도증가(OR=6.009,95% C I:1.436~25.148,P=0.014)시관심병적1항독립위험인소。EAT후도≥4.14 mm진단관심병적민감성위71.9%,특이성위75.0%,ROC곡선하면적위0.783(95% CI:0.678~0.889,P<0.01)。결론노년인채용TTE측량적EAT후도여관심병발생밀절상관,기가작위노년관심병사사적일충유효적무창검사방법。
Objective To evaluate the relationship between epicardial adipose tissue (EAT ) thick‐ness measured by transthoracic echocardiography (TTE) and CHD in the elderly .Methods Sev‐enty‐seven patients with their age ≥60 years were divided into CHD group (n=57)and non‐CHD group (n=20)according to their coronary arterioangiography .Their EAT thickness was measured by TTE .The clinical data and EAT thickness were compared between the two groups .The rela‐tionship between EAT thickness and CHD was analyzed using logistic regression model and ROC curve .Results The EAT thickness was significantly thicker in CHD group than in non‐CHD group (5 .26 ± 1 .77 mm vs 3 .60 ± 1 .03 mm ,P=0 .000) .The ratio of EAT thickness ≥4 .14 mm was significantly higher in CHD group than in non‐CHD group(71 .9% vs 25 .0% ,P=0 .000) . Logistic regression analysis showed that the EAT thickness was an independent risk factor for CHD (OR=6 .009 ,95% CI:1 .436 -25 .148 ,P=0 .014) .The sensitivity and specificity of EAT thickness ≥ 4 .14 mm were 71 .9% and 75 .0% for the diagnosis of CHD ,the area under ROC curve was 0 .783 (95% CI:0 .678 -0 .898 ,P<0 .01) .Conclusion The EAT thickness measured by TTE is closely related with CHD in the elderly with their age ≥60 years and can thus be used as an effective non‐invasive method in diagnosis of CHD in the elderly .