Clinical research of the ankle-brachial index in the elderly patients with coronary heart disease with metabolism syndrome

VernacularTitle:老年冠心病合并代谢综合征患者踝臂指数的临床研究
Author: Fei LONG ; Shan JIANG ; Jun YANG
Publication Type:Journal Article
Keywords: Coronary disease; Metabolic syndrome X; Structure and function; Ankle-brachial index
From: Chinese Journal of Postgraduates of Medicine 2009;32(18):20-22
CountryChina
Language:Chinese
Abstract: Objective To investigate the relationship between the ankle-brachial index (ABI)and the extent of coronary artery stenosis and the left ventricular function in elderly patients with coronary heart disease (CHD)with metabolism syndrome (MS). Methods A total of 140 patients with coronary artery disease was study subjects. In which, 66 cases complicated MS (MS group), 74 cases without MS (non MS group). ABI and the left ventricular function was examined in an patients. Results ABI was 0.90±0.32 in MS group, and 1.03±0.26 in non MS group, there was significant difference between two groups(P=0.015). Compared with non MS group, significant lower ratio of ABI in MS group [43.9%(29/66) vs 27.0%(20/74)] (P=0.038); whereas much more 3-vessel disease in ABI≤0.9 patients compared with those of ABI > 0.9 patients [86.3%(25/29) vs 37.8%(14/37) ], significant lower of the left ventricular function in ABI≤0.9 patients compared with those of ABI >0.9 patients (P<0.05). Conclusion There is more severe of coronary artery stenosis in ABI≤0.9 patients for CHD with MS, more attention should be payed to CHD patients combined with MS.