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タイトル冠危険因子の冠動脈狭窄形態に及ぼす影響 : 冠動脈造影法による検討
タイトルヨミカン キケン インシ ノ カンドウミャク キョウサク ケイタイ ニ オヨボス エイキョウ カンドウミャク ゾウエイホウ ニ ヨル ケントウ
タイトル別表記Assessment of the influence of coronary rask factors on angiographic morphology of coronary stenoses
作成者笠岡, 俊志
作成者ヨミカサオカ, シュンジ
作成者別表記Kasaoka, Shunji
作成者所属山口大学医学部
内容記述(抄録等)To evaluate the influence of three major coronary risk factors, hypercholesterolemia, hypertension and diabetes, on the morphology of coronary artery lesions, we compared the coronary angiographic findings among the following four groups. 1) Hypercholesterolemia (CHO>240mg/dl) patients without hypertension and diabetes. (n=39, HC) 2) Hypertensive patients without diabetes and hypercholoesterlemia.(n=51, HT) 3) Diabetic patients without hyoertension and hypercholesterolemia (n=24, DM) 4) Patients without these three risk factors. (n=90, C) These patients were old myocardial infarction or effort angina with coronary stenotic lesions. The other risk factors were not significantly different. The severity of coronary srtery lesions was assessed by Gensini score, andcoronary lesions were morpho;ogocally classified according to Roesch classification. The distribution of coronary srtery lesions was not signficantly different among four groups. The extent of coronary lesions in HC and DM was significantly higher than that in C. Gensini score in HC was significantly higher than that in the other groups. Comparing the morphology of stenoses, short concenttic type was more frequent in HC than in C, and tubular regular type was more frequent in HT and DM than in C. These results suggest that (1) hypercholesterolemia affects the severity of coronary artery lesions mare than hypertension, and diabetes, (2) hyoercholesterolemia, hypertension, and diabetes influence the morphology of stenoses, and (3) the progressive process of coronary atherosclerosis may be different among these tisk factors.
本文言語jpn
主題医学
資料タイプtext
出版者山口大学医学会
出版者ヨミヤマグチ ダイガク イガッカイ
NII資料タイプ学術雑誌論文
査読の有無査読あり
ISSN0513-1731
NCIDAN00243156
学内刊行物(紀要等)山口医学
掲載誌名山口医学
40
1
開始ページ65
終了ページ72
発行日1991-02
著者版/出版社版その他
リポジトリIDB030040000108
地域区分山口大学
URIhttp://www.lib.yamaguchi-u.ac.jp/yunoca/handle/B030040000108