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通过对有无并发急性缺血性卒中的近端主动脉粥样硬化病人的对照分析,评估二者之间的相互关系。 研究组为106例急性缺血性卒中住院病人,对照组为114例无卒中、TIA或周围动脉栓塞病史病人。两组经食道超声心动图证实有近端主动脉粥样硬化。结果发现≥0.5cm的大块粥样硬化病人卒中多于对照组(26％:13％),溃疡或活动性粥样硬化病人卒中亦多见(12％:5％),>60岁的不明原因卒中病人的溃疡或活动性粥样硬化多于对照组(22％:8％)。颈动脉狭窄≥60％者多见于大块或复合性主动脉粥样硬化。两组的动脉硬化发生率无统计学差异。
The correlation between the two was assessed by a controlled analysis of proximal aortic atherosclerosis in patients with and without acute ischemic stroke. The study group consisted of 106 hospitalized patients with acute ischemic stroke and 114 patients without a history of stroke, TIA or peripheral arterial embolism in the control arm. Two groups of transesophageal echocardiography confirmed proximal aortic atherosclerosis. More than 0.5% of patients with massive atherosclerosis were found to have more strokes than controls (26% vs 13%), more than 12% (5%) of patients with ulceration or active atherosclerosis, and unknown> 60 years of age Causes Stroke patients have more ulcers or active atherosclerosis than controls (22%: 8%). Carotid stenosis ≥ 60% were more common in large or complex aortic atherosclerosis. There was no significant difference in the incidence of atherosclerosis between the two groups.