Diagnosis Valuation Of Carotid Ultrasound Joint Hs-CRP Predicting Acute Coronary Syndrome

Objective:To study the value of the diagnosis of serum levels of high sensitivity C-reactiveprotein(hs-CRP) joint carotid ultrasound in patients with acute coronary syndromeMethods:140patients were randomly classified into three group:control group(30patients),stable angina group(40patients) and acute coronary syndrome (ACS)group(70patients),ACS group were classified into unstable angina group(50patients)and acute myocardial infarction group(20patients).all patients were examined bycarotid ultrasound respectively and to observe their characteristics of carotidatherosclerosis,coronary arteriography(CAG) and hs-CRP.Results:1.Compared with the0branch coronary artery disease group,1branch,2branchand3branch coronary artery disease group serum hs-CRP levels,CIMT and carotidartery plaque incidence was significantly higher(p＜0.05);the incidence of carotidartery plaque were66.7%,74.4%,85.0%,much higher than20.6%of the0group(p＜0.05);between of serum hs-CRP level and CIMT was no significant difference in1branch,2branch and3branch coronary artery disease group (p>0.05);2.Compared with the conrol group and SAP group,the ACS group serum hs-CRPlevels,CIMT and the incidence carotid plaque was significantly higher(p＜0.05);theSAP group and control group no significant difference and no significant differerncebetween the ACS group (p＞0.05).compared with hs-CRP﹤4mg/L group,the ACSincidence,CIMT and carotid artery plaque was significantly higher in hs-CRP≥4mg/Lgroup(P＜0.05)；conclusions1.The carotid plaque incidence of coronary heart disease patients was higher thancoronary artery disease,carotid ultrasound can be used to predict the incidence of coronary atherosclerotic plaque; the levels of serum hs-CRP in patients with ACS isincreased,hs-CRP levels can predict coronary plaque stability;2. Carotid ultrasound joint hs-CRP may diagnosis in patients with ACS.