Relationship between Coronary Risk Factor and Arteriographic Feature of Coronary Atherosclerosis : 53th Annual Scientific Session of the Japanese Circulation Society

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概要

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• Coronary arteriography was performed in 1,029 consecutive patients with ischemic heart disease and the relationship between the arteriographic features of coronary atherosclerosis and coronary risk factors was analyzed by case control studies. Patients were divided into four groups according to coronary arteriographic findings. Patients with normal or near normal coronary arteriograms (Group I) showed a high prevalence of smoking habit and a higher value of serum uric acid compared with the control group, so smoking and hyperuricemia were considered to be the risk factors for coronary atherosclerosis in patients of group . Four selected variables: smoking, hyperuricemia. hypertension and hyperlipidemia. were identified to be risk factors for the patients with minor plaques in the coronary arteries (Group II). As in Group I. smoking and hyperuricemia had a close relationship to solitary tight plaque in a branch of the coronary artery (Group III). Multiple tight stenoses in the coronary arteries (Group IV) correlated closely with smoking. hyperuricemia, hypertension, hyperlipidemia and diabetes mellitus. Thus, there were many strong risk factors for patients with diffuse, extended coronary atherosclerosis (Group II and Group IV), while only two factors. smoking and hyperuricemia, were considered to be risk factors for the patients with near normal coronary arteries ies or a solitary plaque in a branch of the coronary artery. These findings suggest that the role of the coronary risk factors on the pathogenesis of coronary atherosclerosis is not uniform but variable depending on the morphologic variability of the coronary atherosclerosis and on the pathophysiology of the ischemic heart disease.

• 社団法人日本循環器学会の論文
• 1990-04-20

著者

• Toshima H

  The Third Department Of Medicine Kurume University School Of Medicine

• Ikeda Hisao

  Division Of Cardiology Kurume University Medical Center

• Toshima Hironori

  The Third Department Of Medicine Kurume University School Of Medicine

• Toshima Hironori

  Department Of Public Health Nagoya University Graduate School Of Medicine

• Nakayama Hiroshi

  The Third Department Of Internal Medicine Kurume University School Of Medicine

• Shibata Jun-ichi

  Third Department Of Internal Medicine Kurume University School Of Medicine

• Ueno Takafumi

  Department Of Internal Medicine Iii Kurume University School Of Medicine

• Koga Yoshinori

  The Thired Department of Internal Medicine, Kurume University, Medical School

• Koga Yoshinori

  Institute Of Cardiovascular Diseases Kurume Univ. School Of Med.

• Yoshiga Osamu

  The Third Department Of Internal Medicine Kurume University School Of Medicine

• Yoh Masayoshi

  The Third Department Of Medicine Kurume University School Of Medicine

• Hidaka Yoshio

  The Third Department Of Medicine Kurume University School Of Medicine

• Hiyamuta Koji

  The Third Department Of Medicine Kurume University School Of Medicine

• Tashiro Hiromi

  The Third Department of Internal Medicine, Kurume University School of Medicine

• Ikeda Hisao

  The Third Department of Internal Medicine, Kurume University School of Medicine

• UENO TAKAFUMI

  The Third Department of Internal Medicine, Kurume University School of Medicine

• YAMAGA Akihiko

  The Third Department of Internal Medicine,Kurume University School of Medicine

• SHIRAISHI Akihiko

  The Third Department of Internal Medicine,Kurume University School of Medicine

• Toyomasu Hiroyuki

  2nd Surgery Kurume University School Of Medicine

• Maruyama Hidekatsu

  The Third Department Of Internal Medicine Kurume University School Of Medicine

• Ikeda Hisao

  Department Of Internal Medicine Iii Kurume University School Of Medicine

• Shiraishi Akihiko

  Department of Internal Medicine III, Kurume University School of Medicine

• Koga Yoshinori

  Department Of Medicine Iii Kurume University School Of Medicine

• Hidaka Yoshio

  3rd Department Of Internal Medicine Kurume University School Of Medicine

• Yamaga Akihiko

  The Third Department Of Medicine Kurume University School Of Medicine

• Shibata Junichi

  The Third Department of Internal Medicine Kurume University School of Medicine

• Yoh Masayoshi

  The Third Department Of Internal Medicine Kurume University School Of Medicine

• HARADA KOHEI

  Faculty of Commercial Science, Kurume University

• Koga Yosinori

  3rd Department Of Internal Medicine Kurume University School Of Medicine

• Toshima Hironori

  The Third Departmelet Of Internal Medicine Kurume University Medical School Kurume

• Shibata Junichi

  Third Department Of Internal Medicine Kurume University School Of Medicine

• Ikeda Hisao

  The Third Department Of Internal Medicine Kurume University

• Shiraishi Akihiko

  Department Of Internal Medicine Iii Kurume University School Of Medicine

• Koga Yoshinori

  The Third Department Of Internal Medicine Kurume University School Of Medicine

• Shiraishi Akihiko

  The Third Department Of Medicine Kurume University School Of Medicine

• Toschima Hironori

  1st Medical Clinic Kyushu University

• Yoshioka Haruki

  3rd Dept. Of Intern. Med. Kurume Univ. School Of Med.

• Ueno Takafumi

  Division Of Cardio-vascular Medicine Department Of Internal Medicine Kurume University School Of Med

• Toshima Hironori

  The 3rd Department Of Lnternal Medicine Kurume University Medical School

• Koga Yoshinori

  The Third Department Of Internal Medecine Kurume University School Of Medicine

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