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|本期目录/Table of Contents|

冠心病并发型糖尿病患者的冠状动脉造影特点(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2002年第1期
页码:
35-37
栏目:
论著
出版日期:
2002-01-01

文章信息/Info

Title:
The features of coronary angiography in coronary heart disease with type II diabetes mellitus
作者:
曾国彬;  张玉顺;  贾国良
第四军医大学西京医院心内科, 陕西 西安 710032
Author(s):
ZENG Gou-bin;  ZHANG Yu-shun;  JIA Guo-liang
Department of Cardiology, Xijing Hospital, Fourth Military Medical University, Xi′an Shaanxi 710032, China
关键词:
冠状动脉疾病;  糖尿病; Ⅱ 型;  冠状动脉造影术
Keywords:
coronary disease;  diabetes mellitus;  type II ;  coronary artery angiography
分类号:
R541. 4; R540. 46　　
DOI:
-
文献标识码:
A
摘要:
目的 探讨冠心病并发Ⅱ型糖尿病患者的临床及冠状动脉病变特点。方法 用冠状动脉(冠脉) 造影方法分析了301例伴有Ⅱ型糖尿病(46例)和不伴有糖尿病(255例)冠心病患者冠脉病变特点并将临床特点加以对照研究。结果 冠心病并发? 型糖尿病者倾向于聚集多种心血管危险因素(高血压、血脂异常)。该组患者无痛型较多, 住院期间病死率高, 冠脉血管受累程度高且弥慢性血管病变多见, 左室射血分数低。并且糖尿病病程越长, 越易发生多支血管病变。结论 冠心病并发Ⅱ型糖尿病患者冠脉病变严重。糖尿病早期诊断对冠心病预后非常重要。
Abstract:
AIM To study the clinical and angiography of coronary heart disease (CHD) in patients with type II diabetes mellitus (DM). METHODS 301 cases of CHD patients were divided into 2groups: patients with type II DM and patients without type II DM. The coronary lesions were compared between the 2 groups by coronary artery angiography (CAG ) and the clinical characteristics were also studied between the 2 groups. RESULTS CHD patients type II DM tended to have multiple cardiovascular risk factors: hypertension, dyslipidemia. More patients with type II DM had painless chest pain, and the mortality rate in type II DM group was higher than that of control group. CHD patients with type II DM had much great extent of coronary vessel involement and more diffuse vascular lesion and lower left ventricular ejection fraction (LVEF ). Moreover, the longer the duration of diabetes, the more branches were involved.CONCLUSION CHD patients with type II DM have more severe changes in coronary artery, and the early diagnosis of type II DM is very important for the prognosis of CHD.

参考文献/References

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备注/Memo

备注/Memo:
收稿日期：2000-12-28.
更新日期/Last Update: 2002-01-01