Clinical Value of Ultrasound Diagnosis of Carotid Plaque Vulnerability in Predicting the Severity of Coronary Lesions
Objective:To analyze the value of ultrasonic diagnosis of carotid plaque vulnerability in predicting the severity of coronary lesions.Methods:111 patients with carotid plaque diagnosed by ultrasound in our hospital from July 2022 to September 2023 were divided into vulnerable plaque group(n=61)and stable plaque group(n=50)according to plaque stability.Clinical data,degree of coronary artery stenosis,number of coronary artery lesions,Gensini score of coronary artery lesions and incidence of coronary heart disease were compared between the two groups.Results:There were no significant differences in age,sex,smoking rate and body mass index between the two groups(P＞0.05),but the alcohol consumption rate,TG and TC levels in vulnerable plaque group were higher than those in stable plaque group(P＜0.05).The overall degree of coronary artery stenosis was different between the two groups(P＜0.05).The mild stenosis rate in vulnerable plaque group was lower than that in stable plaque group,and the moderate and severe stenosis rate were higher than that in stable plaque group(P＜0.05).The number of coronary lesions,Gensini score of coronary lesions and incidence of coronary heart disease in vulnerable plaque group were higher than those in stable plaque group(P＜0.05).Conclusion:Carotid plaque vulnerability can predict the degree of coronary artery stenosis and the occurrence of coronary heart disease to a certain extent.
万方数据
维普
