摘要:目的:探讨老年性钙化性心脏瓣膜病的临床特点及其与冠心病的关系。方法:回顾分析1998年至2004 年间652例>60岁住院老年人的超声心动图及临床资料。结果：钙化性瓣膜病的发生部位以主动脉瓣最多见;经过临床诊断确诊为冠心病的有425例，以ACS为主，其次是陈旧性心肌梗死，稳定型心绞痛。钙化性心脏瓣膜病与血糖、血压、血超敏C反应蛋白(CRP)、血脂异常、冠心病高有关，钙化组的总胆固醇( TC) 、甘油三酯( TG) 、低密度脂蛋白(LDL) 均明显高于非钙化组(P<0.001)。在钙化组, 冠心病的患病率明显高于非钙化组(P<0.01)。结论：钙化性心脏瓣膜病与冠心病、高血压病、血脂异常、血糖、血超敏C反应蛋白关系密切, 超声心动图可作为常规检查手段。CRP可以作为预测心脏钙化性瓣膜病的指标。

    关键词: 心脏瓣膜病; 钙化； 超声心动图; C反应蛋白

    Clinical Analysis of Calcified Valvular Disease in 58 Cases Patients Elderly

    HUANG Bi-hong, WANG Hua-xiang, QIU Han-ying

    (The Second Affiliated Hospital of Shantou University Medical College, Guangdong Shantou 515041, China)

    Abstract: Objective: To discuss the clinical features of calcified valvular disease in the elderly. And to analysis the relation between the calcified valvular disease with the coronary heart disease.Methods: Five hundred and fifty two patients , at the age of over 60 years , with calcified valvular disease were retrospectively analyzed from 1998 to 2004. Results: The most valvular lesions of calcified valvular disease is aortic valvular; The case of calcified valvular disease combined with coronary heart disease is 425, the most is ACS, then chronic myocardiac infarction, stable angina pectoris. calcified valvular disease is related to hyperglucose, hypertension, C Reacting Protein(CRP) ......