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《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:

2016年第1期

页码:

53-055

栏目:

临床研究

出版日期:

2015-09-15

文章信息/Info

Title:

Influential factors for formation of coronary collateral circulation in acute myocardial infarction patients

作者:

冯 涛¹; 2; 陈小平²; 冯慧芳²; 董星辉²

（1.山西医科大学研究生学院，山西 太原 030001；
2.太原市中心医院心内科，山西 太原 030001）

Author(s):

FENG Tao¹; 2;  CHEN Xiao-ping²;  FENG Hui-fang²;  DONG Xing-hui²

(Graduate School, Shanxi Medical University, Taiyuan 030001, Shanxi, China；
2.Department of Cardiology, Taiyuan Central Hospital, Taiyuan 030001, Shanxi, China)

关键词:

心肌梗死; 急性; 冠状动脉侧支循环; 影响因素

Keywords:

acute myocardial infarction;  coronary collateral circulation;  factors

分类号:

R541.4

DOI:

-

文献标识码:

A

摘要:

目的 研究急性心肌梗死（AMI）时影响冠脉侧支循环（CCC）形成的因素。方法 共入选142例就诊我院的首次AMI患者，均在AMI发作1 d内行冠状动脉造影术（CAG），依照Rentrop侧支循环分级，分为侧支循环良好组（良好组：侧支循环Ⅱ、Ⅲ级）和侧支循环不良组（不良组：侧支循环0、Ⅰ级），将两组患者的临床资料和冠脉造影资料进行对比分析。结果 冠脉侧支循环形成与糖尿病呈负相关，与梗死前心绞痛病程（>3 个月）及冠脉病变支数呈正相关，而与年龄、性别、吸烟史、血脂水平、高血压病等无关。结论 梗死前心绞痛病程（>3 个月）、冠脉病变支数是AMI患者形成侧支循环的有利因素，糖尿病不利于侧支循环形成。

Abstract:

AIM To study the factors influencing the formation of coronary collateral circulation (CCC) when acute myocardial infarction (AMI) occurs. METHODSOne hundred and forty-seven AMI patients underwent coronary angiography (CAG) within 24 h after onset of AMI. Patients were divided into two groups (good and poor) according to the Rentrop collateral circulation. Patients in the good group had good collateral circulation (grades II and III) and patients in the poor group had poor collateral circulation (grade 0, I). Clinical data and results of coronary angiography were analyzed and compared between groups. RESULTSFormation of coronary collateral circulation was negatively correlated with diabetes and was positively correlated with the duration of pre-infarction angina (>3 months) and numbers of diseased coronary vessels, regardless of age, gender, smoking, cholesterol, hypertension. CONCLUSIONDuration of pre-infarction angina (>3 months) and number of diseased coronary vessels are the factors conducive to the formation of collateral circulation. Diabetes is not conducive to the formation of collateral circulation in AMI patients.

参考文献/References

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备注/Memo

备注/Memo:

收稿日期：2015-01-13.
通讯作者：陈小平，主任医师，主要从事冠心病基础与临床的研究 Email：cxp590223@163.com
作者简介：冯涛，硕士生 Email：408742524@qq.com

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更新日期/Last Update: 2015-09-16