摘要
目的:探讨心电图正常的冠心病患者冠状动脉造影特点。方法:对280例静息心电图正常的冠心病患者的冠状动脉造影结果进行分析。结果:冠脉造影显示,3支血管病变者94例,占33.6%;2支血管病变者132例,占47.1%;2～3支血管病变者226例,占80.7%;单支血管病变者54例,占19.3%。结论:冠心病心绞痛患者冠脉2～3支血管病变者心电图正常,与血管狭窄部位相互对应有关;单支血管病变与狭窄程度较轻有关。对有心前区不适的患者,不能仅凭心电图轻易否定冠心病诊断,应尽早行冠脉造影,以便早期诊治。
Objective：To investigate the features of selected coronary artery angiography （SCA）in patients with coronary artery disease（CAD）and normal resting electrocardiogram （ECG）,so as to raise diagnostic levels of coronary heart disease.Methods：280 patients with angina pectoris and normal resting ECG were studied,their clinical data and results of SCA were analyzed. Results：Among all patients,94 cases（33.6% ）anomaly in three ramification.Conclusion：For patients with CAD and normal resting ECG,the majority have multi-vessel ,and the lesions are often found at the opposite side of each vessel. For single-vessel disease patients,the stenosis is usually mild to moderate.
出处
《中国医药导报》
CAS
2008年第1期82-83,共2页
China Medical Herald
关键词
心绞痛
心电图
冠状动脉造影
Angina
Peetoris electrocardiogram
Coronary angiography
