摘要
目的 了解心电图广泛导联T波倒置伴随缺血性胸痛的中老年女性患者的冠脉特点及预后.方法 选择2010-2013年我院收住的心电图广泛导联T波倒置,伴缺血性胸痛症状,冠脉造影正常的女性患者28例进行随访,总结这类患者的临床特点、短期及长期预后.结果 此类患者的冠脉造影结果不能解释广泛导联T波倒置.这些患者心功能均正常,心电图无明显动态变化.平均随访（26±12）个月,没有一例发生严重心脏事件.结论 心电图广泛T波倒置、冠脉造影正常、心功能正常的更年期前后的女性患者预后良好,心电图改变可能是一种电生理现象.
Objective To describe the angiographic findings and the long-term prognosis in middle or elderly women with ischemic chest pain and electrocardiographic evidence of global T-wave inversion.Methods Consecutive women patients admitted to our unit for chest pain whose electrocardiograms met the criteria for global T-wave inversion and coronary angiography showed normal coronary anatomy were analyzed.All patients underwent echocardiography and the immediate and long-term prognosis were analyzed.Results The ECG can not be explained by the extent of atherosclerotic obstruction and the T-wave has no dynamic changes.All patients had normal ventricular function.There were no adverse events （acute myocardial infarction,revascularization,or death） during （26±12）months follow-up.Conclusion Patients presenting with electrocardiographic evidence of global T-wave inversion are most frequently women with intact left ventricular function and no critical stenosis of major coronary artery.This syndrome has a good immediate and long-term prognosis.
出处
《中国心血管病研究》
CAS
2014年第5期409-411,共3页
Chinese Journal of Cardiovascular Research
关键词
心电图T波倒置
冠状动脉造影
女性
预后
Global T-wave inversion
Coronary angiography
Women
Prognosis
