我们的网站为什么显示成这样？

可能因为您的浏览器不支持样式，您可以更新您的浏览器到最新版本，以获取对此功能的支持，访问下面的网站，获取关于浏览器的信息：

|本期目录/Table of Contents|

平板运动试验阴性的冠心病患者62例冠状动脉造影分析(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2003年第4期
页码:
319-320
栏目:
临床研究
出版日期:
2003-07-01

文章信息/Info

Title:
Coronary angiographic analysis in 62 patients with coronary artery disease and negative results of treadmill exercise test
作者:
钱伟1; 王效增2
1.第四军医大学西京医院心血管内科,陕西 西安 710033;2.沈阳军区总医院心内科,辽宁 沈阳 110001
Author(s):
QIAN Wei11;  WANG Xiao-zeng2
Department of Cardiovasology, Xijing Hospital, Fourth Military Medical University, Xi'an, Shaanxi 710032, China
关键词:
平板运动试验; 冠状动脉疾病; 冠状血管造影术
Keywords:
treadmill exercise;  coronary disease;  coronary angiography
分类号:
R543.3;R445
DOI:
-
文献标识码:
A
摘要:
目的:为了解平板运动试验阴性的冠心病患者临床与冠脉病变特点,以提高诊断水平。方法:对平静心电图正常及平板运动试验阴性而冠状动脉造影确诊为冠心病的62例患者的临床资料及冠状动脉造影结果进行分析。结果:冠心病危险因素:高脂血症40例(65%),高血压病28例(45%),糖尿病16例(26%),吸烟者30例(48%)。冠状动脉造影显示2～3支血管病变占65%(40/62),包括左主干受累4例;单支血管病变占36%(22/62)。2～3支血管病变40例中34例(85%)血管狭窄部位相互对应。2支血管病变为前降支和右冠者多见,占54%(14/26),单支血管病变以前降支者多见,占59%(13/22)。73%(16/22)单支血管狭窄为50%～74%。结论:对临床疑为冠心病的患者,即使平板运动试验阴性也应及早作冠脉造影检查以明确诊断。
Abstract:
AIM: To investigate the features of selected coronary artery angiography (SCA) of patients with coronary artery disease (CAD) and negative results of treadmill exercisetest(TET). METHODS: 62 patients with angina pectoris, who has negative results of treadmill exercise test (TET) were studied, their clinical data and results of SCA were analysed. RESULTS: Dangerous elements of the 62 patients with CAD: 40(65%) were accompanied with hyperlipide-mia, 28 (45%) with hypertension,16(26%) with diabetes mellitus, 30(48%) have smoking history。Among all patients, 40(64%) have disease involving more then 2 vessels, 22(36%) with single vessel. For those patients with more then 2 vessels disease, 34(85%) have lesions at the opposite sides to each other. In 14 of 26 patients with 2 vessels disease, the lesions are found at LAD and RCA. In 13 of 22(59%) single-vessel disease patients, lesions are mainly found in LAD, usually mild to moderate stenosis. CONCLUSION: In patients with CAD and negative results of TET, the lesions are often found at the opposite sides to each other.

参考文献/References

[1] 邵耕. 现代冠心病 [M] . 北京:北京医科大学, 中国协和医院大学联合出版社, 1994. 245.

[2] 黄丽敏, 李榕生. 心电图活动平板运动试验与冠状动脉造影结果对照分析 [J] . 中华心律失常学杂志, 2001, 5(3):164-166.

[3] 唐良秋. 动态心电图、平板运动试验对冠心病的诊断意义(附70例报告) [J] . 当代医师杂志, 1998, 3(9):18-19.

[4] Wilson RF, Marcus ML, Christensen BV, et al. Accuracy of exercise electrocardiography in detection physiologically significant coronary arterial lesions [J] . Circulation, 1991, 83:412.

[5] 李建国, 秦永文, 谢明萱. 46例平板运动试验假阳性和假阴性原因分析 [J] . 临床内科杂志, 2000, 17(6):371-372.

[6] 王效增, 韩雅玲, 苗志林, 等.心电图正常的冠心病患者临床资料与冠脉造影分析 [J] . 心脏杂志, 2001, 3(6):553-554.

备注/Memo

备注/Memo:
收稿日期：2002-05-20.
更新日期/Last Update: 2003-07-01