Diagnostic Application of Carotid Ultrasound and hs-CRP Test for Acute Myocardial Infarction in Patients with Type 2 Diabetes Mellitus
LI Juan1a, WANG Liang-liang1b, SHI Pu-jun1c, WANG Dong-xiao1b, LI Jie2, GUAN Jun3
1. a.Department of Special Inspection; b . D e p a r tme n t o f U l t r a s o u n d ; c. Department of Equipment, Liaocheng People’s Hospital, Liaocheng Shandong 252000, China; 2. Department of Ultrasound, Qilu Hospital of Shandong University, Jinan Shandong 250012, China; 3. Department of Ultrasound, Central Hospital of Meihekou City, Meihekou Jilin 135000, China
Abstract:Objective To evaluate the diagnostic significance of carotid ultrasound and hs-CRP test in acute myocardial infarction in patients with type 2 diabetes mellitus. Methods Three groups of patients were investigated in this study: the first group was composed of 180 patients with type 2 diabetes mellitus; the second group included 143 patients diagnosed with acute myocardial infarction who had a history of unresolved type 2 diabetes mellitus; the third group was the control group with 150 healthy people. Color Doppler ultrasound were performed in the three groups to measure carotid intima-media thickness (IMT) and observe the plaque number and characteristic in carotid arteries. Meanwhile, the hs- CRP levels in serum were measured and compared. Results The IMT, plaque number and characteristic in carotid arteries, as well as hs-CRP levels in serum showed significant differences among the three groups (P<0.05). In the second group, the levels of hs-CRP in patients with unstable plaques were higher than the patients with stable plaques[ (13.88±5.70) mg/L vs (9.36±5.54) mg/L] (P<0.05). Conclusion Carotid ultrasound combined with hs-CRP test could be used as predictors for acute myocardial infarction in patients with type 2 diabetes mellitus.
李娟1a,王亮亮1b,史朴军1c,王冬晓1b. 颈动脉超声检查及超敏C反应蛋白检测对2型糖尿病患者急性心梗的诊断价值[J]. 中国医疗设备, 2016, 31(1): 71-73.
LI Juan1a, WANG Liang-liang1b,SHI Pu-jun1c,WANG Dong-xiao1b. Diagnostic Application of Carotid Ultrasound and hs-CRP Test for Acute Myocardial Infarction in Patients with Type 2 Diabetes Mellitus. China Medical Devices, 2016, 31(1): 71-73.