The Correlation Of Radial Artery Spasm And Coronary Artery Spasm

Objective: According analyzing the occurrence of the coronary arteryspasm (CAS)associated events in the radial artery spasm(RAS) positivegroup and negative group,discussed the correlation between coronaryartery spasm associated events and radial artery spasm.Methods128patients included in our study,who suffered the coronaryangiography though radial artery between January2011and March2013inour hospital (PLA210hospital). They were divided into four groups by thefactors that if there were radial artery spasm and coronary arteryspasm:group RAS, group Non-RAS; group CAS, group Non-CAS. Theangina that the Coronary artery spasm participated in was named coronaryspastic angina(CSA).this study for CSA judgment criteria according toJapan’s "coronary artery spasmodic angina diagnosis and treatmentguidelines":(1) The chest pain was happened in resting state and ECG(Electrocardiogram ECG) showed ST segment elevation or down acuityexceed0.1mv, and the pain could relieve after taking the nitroglycerintablet;(2) The chest pain was happened in movement state and ECG showedST segment elevation acuity exceed0.1mv, and the pain could relieve aftertaking the nitroglycerin tablet;Comparing the artery spasm associatedevents between the patients of group RAS and group Non-RAS;discuss thethe influence factors of the RAS and CAS.Comparative the RAS group andNon-RAS group patients with the relation of CAS related events（quietangina,ECG ST segment is high at night, Ca antagonists can inhibit thechest pain and B receptor blockers can not inhibit,motor function decline inthe early morning）. R esults1.There was statistically significant difference with clinical baselinedata on age, gender, smoking,and anxiety between the patients of groupI(38cases) and group II(90cases)（P<0.05).Young, women, smoking andanxiety patients are more likely to appear the RAS phenomenon.2.There was statistically significant difference with clinical baselinedata on age, gender, hyperlipidemia and anxiety between the patients ofgroup III (29cases)and group IV(99cases)（P<0.05).Young, women,hyperlipidemia and anxiety patients are more likely to appear the CASphenomenon.3.Multivariate Logistic regression analysis about the age, gender,hypertension, diabetes, hyperlipidemia, smoking and anxiety,showed thatthe following factors were independently associated with the occurrence ofradial artery spasm． These factors were as follows:Young,women andsmoking.4.Multivariate Logistic regression analysis about the age, gender,hypertension, diabetes, hyperlipidemia, smoking and anxiety,showed thatthe following factors were independently associated with the occurrence ofcoronary artery spasm． These factors were as follows:Young, women andanxiety.5.There was statistically significant difference with the occurrence ofthe coronary artery spasm associated events on quiet angina,ECG STsegment is high at night, Ca antagonists can inhibit the chest pain and Breceptor blockers can not inhibit,motor function decline in the earlymorning（P<0.05). quiet angina, ECG ST segment is high at night, Caantagonists can inhibit the chest pain and B receptor blockers can notinhibit, motor function decline in the early morning are more likely toappear the RAS phenomenon.Conclusion1.Young, women, smoking and anxiety patients are more likely toappear the RAS phenomenon,and the young, women and smoking wereindependently associated with the occurrence of radial artery spasm．2.Young, women, hyperlipidemia and anxiety patients are more likely to appear the CAS phenomenon,and the Young, women and anxiety wereindependently associated with the occurrence of coronary artery spasm．3. Radial artery spasm in the incidence of many related events incoronary spasm is higher than the non-radial artery spasm, and radial arteryspasm may play a role in forecast for coronary artery spasm events.