ObjectiveTo analyze the value of carotid atherosclerosis combined with blood lipid test in the screening of coronary atherosclerotic lesions. Methods140 patients with coronary atherosclerotic lesions who were admitted to our hospital from May 2012 to May 2017 were selected, who were divided into single-vessel disease group and multi-vessel disease group according to the number of coronary artery lesions. 70 cases in each group. 80 healthy subjects who underwent coronary angiography in the same age group were selected as the control group. Carotid intima-media thickness (IMT), plaque score, coronary Gensini score, and blood lipid index were compared between the three groups. ResultsThe IMT, carotid plaque scores and coronary Gensini scores of the three groups were compared in the multi-vessel disease group＞single-vessel disease group＞control group, the difference was statistically significant (P＜0.05). The LDL and TG levels of the three groups were compared in the multi-vessel disease group＞single-vessel disease group＞control group, the difference was statistically significant (P＜0.05). ConclusionUltrasound findings of carotid atherosclerosis are closely related to the severity of coronary atherosclerosis. The level of blood lipid in patients with carotid atherosclerosis is closely related to the severity of coronary artery disease. Carotid atherosclerosis combined with blood lipid test Clinical screening for coronary atherosclerotic lesions has important reference value.

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