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[目的]对风湿性心瓣膜病患者资料及冠脉造影结果进行回顾性分析,探讨其合并冠心病的危险因素。[方法]收集分析本院2006—2009年风湿性心瓣膜病,且符合换瓣手术指征、年龄>50岁的患者130例资料。[结果]130例风湿性心瓣膜病患者中合并冠心病18例(13.9%)。合并冠心病组年龄较非冠心病组大。冠心病组合并糖尿病和高血压者较多。[结论]高龄风湿性心瓣膜病患者,合并糖尿病和(或)高血压是合并冠心病的主要危险因素。
[Objective] To retrospectively analyze the data of patients with rheumatic valvular heart disease and coronary angiography, and to explore the risk factors of coronary heart disease. [Methods] A total of 130 patients with rheumatic valvular heart disease in our hospital from 2006 to 2009 who met the criteria of valve replacement surgery and who were over 50 years of age were collected. [Results] Among the 130 patients with rheumatic valvular disease, 18 cases were complicated with coronary heart disease (13.9%). Coronary heart disease patients were older than non-coronary heart disease patients. Coronary heart disease combined with diabetes and hypertension are more. [Conclusion] Patients with advanced rheumatic valvular heart disease, with diabetes mellitus and / or hypertension, are the main risk factors for coronary heart disease.