摘要
为探讨心绞痛史对心肌梗塞临床的影响，该文对388例急性心肌梗塞患者的临床资料进行了研究，并按梗塞前有、无心绞痛史分为A、B两组。结果表明：A组，C肌梗塞时心肌坏死范围小，心肌酶峰值低，严重并发症及病死率均明显低于B组，同时还对其发生机制及临床意义进行了讨论。
In order to investigate the effects of previous angina on the clinical manifestations of myocardial infarction, theclinical data of 388 cases (311 male, 77 female) of acute myocardial infarction has been analysed. Group A (282cases) had ischemic evidence prior to myocardial infarction, while group B (106 cases) had none. The data showsthat the clinical features and prognosis of group A were quite different from that of group B. Patients in group A hadsmaller infarcts (P<0.01), lower peak levels of serum cardiac enzymes (CPK, LDH, AST, MB - CK) (P <0.001), and the incidence of arrhythmias, left ventricular heart failure and mortality in group A were lower than thoseof group B (P < 0.01, P <0.05). In addition, the potential mechanism with which previous angina effects the myocardial infarction and its clinical significance are discussed.
出处
《中国现代医学杂志》
CAS
CSCD
1997年第10期13-15,共3页
China Journal of Modern Medicine
关键词
心绞痛史
心肌梗塞
预后
History of angina pectoris
Myotardial infarction
Prognosis
