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不稳定型心绞痛患者TIMI危险评分与冠状动脉病变严重程度相关(PDF)

《心脏杂志》[ISSN:1009-7236/CN:61-1268/R]

期数:
2007年第4期
页码:
445-447
栏目:
临床研究
出版日期:
2007-08-01

文章信息/Info

Title:
Relationship between TIMI risk score and stenosis of coronary artery in unstable angina pectoris patients
作者:
华宁; 唐发宽; 钮炜西; 方智; 陆宏
解放军总医院第二附属医院心内科，北京 100091
Author(s):
HUA Ning;  TANG Fakuan;  NIU Weixi;  FANG Zhi; LU Hong
Department of Cardiology, Second Afflicted Hospital, PLA General Hospital, Beijing 100091, China
关键词:
心绞痛; 不稳定型; 心肌梗死溶栓危险评分; 冠状动脉造影
Keywords:
unstable angina pectoris; thrombosis in myocardial infarction risk score; coronary angiography
分类号:
R541.4
DOI:
-
文献标识码:
A
摘要:
目的 探讨心肌梗死溶栓（TIMI）危险积分与不稳定型心绞痛(UA)患者冠状动脉病变严重程度的相关性。方法 对 102例 UA患者分别进行 TIMI危险积分评估和冠状动脉造影，以TIMI评分差异分组，分析不同 TIMI危险积分与冠脉狭窄程度、病变血管范围、病变性质的相关性。结果 TIMI危险积分与冠脉狭窄程度、病变血管范围、病变性质积分均有良好的相关性，TIMI危险积分越高，冠脉病变越重。结论 TIMI危险积分可以用来评价 UA患者当前冠脉病变的严重程度。
Abstract:
AIM To explore the value of severity in unstable angina (UA) pectoris patients scored with the thrombosis in myocardial infarction (TIMI) risk score. METHODS Included in the study were 102 patients with unstable angina pectoris scored respectively by TIMI risk score and coronary angiography. The patients were divided into different groups according to the TIMI risk score and the differences of TIMI scores, narrow severity, pathological changes limits and character of coronary artery in UA patients were compared. RESULTS TIMI risk score significantly correlated with the narrow severity score, pathological change limits and character scores of coronary artery respectively. In UA patients, the results showed that as the results of TIMI risk score increase, the severity of coronary artery disease took on an increasing tendency. CONCLUSION TIMI risk score can be used to evaluate the stenosis level of coronary artery. TIMI risk score has some important value in predicting the changes of pathological coronary artery.

参考文献/References

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［2］ 郑晓英，孟新科，李文广，等.TIMI危险积分对冠心病严重程度评估价值的临床研究［J］. 中国危重病急救医学，2004，16（4）：239－241.　

［3］ 李建军，江洪，黄从新，等.不稳定型心绞痛患者血浆 C反应蛋白水平与冠状动脉狭窄对比分析［J］.中国循环杂志 , 2001, 16( 3):179.

［4］ 刘现亮，崔志澄，胡大一，等 .不稳定型心绞痛冠状动脉造影病变与临床的相关性［J］.中华内科杂志 , 2001, 40( 5) :306－309.

［5］ 郭永和，张维君，周玉杰，等.冠状动脉造影患者心血管病危险因素与冠状动脉病变程度的相关性分析［J］.中华心血管病杂志，2005，33（5）：415－418.

［6］ Sadanandan S，Cannon CP ，Gibson CM,et al.A risk score to estimate the likelihood of coronary artery bypass surgery during the index hospitalization among patients with unstable angina and nonSTsegment elevation myocardial infarction［J］. J Am Coll Cardiol ,2004 ，44(4):799-803.

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［8］ 赵树梅，李晓燕，刘现亮，等，急性心肌梗死TIMI危险评分与冠状动脉病变的关系［J］.临床心血管病杂志，2005，21（2）：111－112.

［9］ 赵明中，胡大一，马志敏，等．TIMI危险评分对急性心肌梗死介入治疗患者危险分层与预后预测价值［J］．中华心血管病杂志，2003，31（3）：204－205.

［10］Garcia Almagro FJ，Gimeno JR, Villegas M，et al.Use of a coronary risk score (the TIMI Risk Score) in a nonselected patient population assessed for chest pain at an emergency department［J］. Rev Esp Cardiol，2005，58(7):775-781.

［11］SzygulaJurkiewicz B， Wilczek K， Trzeciak P， et al. Usefulness of TIMI Risk Score in assessing the prognosis in patients with acute coronary syndromes without ST elevation assigned to early percutaneous coronary intervention. Comparison of the highrisk and the moderaterisk patients［J］. Pol Arch Med Wewn， 2004，112(3):1083-1091.

备注/Memo

备注/Memo:
收稿日期：2006-07-11.通讯作者：唐发宽，主任医师，主要从事冠心病临床及基础研究Email：TFK616@yahoo.com.cn作者简介：华宁，医师Email:hn309@hotmail.com
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