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CLAESSENS
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Tytuł oryginału:
The ' CARFEM' vascular index as a predictor of coronary atherosclerosis.
Autorzy:
Claessens
Philip,
Claessens
Christophe,
Claessens
Marc,
Claessens
Maria,
Claessens
Jan
Źródło:
Med. Sci. Monitor 2002: 8 (1) s.MT1-MT9, il., tab., bibliogr. 19 poz.
Sygnatura GBL:
313,278
Hasła klasyfikacyjne GBL:
kardiologia
Typ dokumentu:
praca kliniczna
badanie porównawcze
tytuł obcojęzyczny
Wskaźnik treści:
ludzie
dorośli 19-44 r.ż.
dorośli 45-64 r.ż.
dorośli = 65 r.ż.
płeć męska
płeć żeńska
Streszczenie angielskie:
Background: The purpose of the study was detection of coronary atherosclerosis and identification of persons at risk by means of non-invasive examiantion of the carotid and peripheral arteries. Material/Methods: Investigation of 366 patients: 229 males and 137 females divided into groups according to age and the severity of the coronary atherosclerotic lesions. Only patients with a coronary stenosis of mor than 90 p.c., who needed angioplasty or coronary bypass surgery, were included. Group I consisted of patients with nromal coronary arteries; Gorup II, cirtical one-vessel disease; Group III, two-vessedl disease; Gorup IV, critical three-vessel diseases. By means of a vascular duplex scan we measured bilaterally the intima-media thickness of the posterior wall of the common carotid artery. In order to provide a more accurate estimation of the total atherosclerotic burden we have created the 'CARFEM' index (combination index of intima media thickness of carotid artery and total wall thickness of the superficial femoral artery). Results: The anthropometric data were identical among the different groups. There are statistically highly significantly differences in the intima-media thickness of the common carotid artery when patients with normal coronary arteries are compared with patients with three-vessel coronary disease. By calculating the 'CARFEM' index not only we can differntiate between patients with normal coronary arteries and patients with critical three-vessel disease, but there are also ways to differentiate between different subgorups and to assess possible one-vessel...
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