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|本期目录/Table of Contents|

冠状动脉造影检查在冠心病诊断中作用的再探讨(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2006年第2期
页码:
225-227
栏目:
临床研究
出版日期:
2006-03-01

文章信息/Info

Title:
Role of coronary angiography in diagnosing coronary artery disease
作者:
张铭; 周胜华; 吴旭斌; 方臻飞; 成威
中南大学湘雅二院心内科，湖南 长沙 410011
Author(s):
ZHANG Ming;  ZHOU Sheng-hua;  WU Xu-bin;  FANG Zhen-fei;  CHENG Wei
Department of Cardiology, Second Xiangya Hospital, Central South University, Changshan，Hunan 410011, China
关键词:
冠状动脉疾病;  冠状动脉造影;  诊断
Keywords:
coronary heart disease;  coronary angiography;  diagnose
分类号:
R541.4
DOI:
-
文献标识码:
A
摘要:
目的 探讨冠状动脉造影（CAG）检查在诊断冠心病中作用，就其对多年来被认为是金标准作用进行再探讨。方法 对138例怀疑有冠心病的患者，均经普通ECG，动态ECG，活动平板和CAG。结果 只有71例患者的冠状动脉造影检查符合目前冠心病标准，其余67例患者冠状动脉未达标（轻度-中度狭窄，或完全正常或仅见散在斑块形成）。结论 冠心病的诊断是一个较为复杂的问题，CAG检查是诊断冠心病的一个重要依据，有相当比例的冠心病患者（CAG）无明显异常。
Abstract:
AIM To study the role of coronary angiography (CAG) in diagnosing coronary artery disease and reinvestigate the role of CAG as gold standard. METHODS One hundred and thirty-eight cases of patient who had been primordially diagnosed as CHD. All the patients were examined by general electrocardiogram, Holter Movement ECG and coronary angiography. RESULTS Seventy-one cases met the standard of CAG in diagnosing coronary artery disease while the rest cases, who had only light or midrange stenosis, or only some sporadic plaque, did not meet the present criteria. CONCLUSION Diagnosis of CHD is comparatively complicated process and the results of CAG can only be taken as an important reference, for a considerable proportion of patients with CHD have no apparent abnormality by CAG.

参考文献/References

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［2］Guedes A, Tardif JC. Intravascular ultrasound assessment of atherosclerosis［J］. Curr Atheroscler Rep，2004， 6(3):219-224.

［3］ Sharaf BL, Pepine CJ, Kerensky RA， et al. Detailed angiographic analysis of women with suspected ischemic chest pain (pilot phase data from the NHLBI-sponsored Women's Ischemia Syndrome Evaluation ［WISE］ Study Angiographic Core Laboratory)［J］ . Am J Cardiol，2001 ， 87(8):937-941.

［4］ Kotani J, Mintz GS, Castagna MT, et al. Intravascular ultrasound analysis of infarct-related and non-infarct-related arteries in patients who presented with an acute myocardial infarction［J］. Circulation，2003， 107(23):2889-2893.

［5］ 张绪国,　施艳红,　董宏伟. 平板运动试验与动态心电图联合检测对冠状动脉病变的预测价值［J］.　临床心电学杂志，2001，10（3）：140-150.

［6］薛一涛,刘伟. 动态心电图对冠心病诊断价值的研究进展［J］. 心脏杂志，2004,16(6)：581-584.

备注/Memo

备注/Memo:
收稿日期：2005-04-23.作者简介：张铭，博士生 Email：mingzhang2003@yahoo.com.cn
更新日期/Last Update: