冠状动脉造影大致正常的急性心肌梗死患者临床分析

南方医科大学学报 ›› 2004, Vol. 24 ›› Issue (07): 834-835.

冠状动脉造影大致正常的急性心肌梗死患者临床分析

曾展生¹, 李忠红², 衣为民², 龙娟²

1. 中央保健局, 北京, 100034;
2. 深圳市孙逸仙心血管医院, 广东, 深圳, 518036

出版日期:2004-07-20 发布日期:2004-07-20
基金资助:
收稿日期:2004-6-7。
作者简介:曾展生(1962- ),男,1983年毕业于第一军医大学,主任医师

Clinical analysis of acute coronary infarction patients with roughly normal coronary arteriographic findings

ZENG Zlaan-sheng¹, LI Zhong-hong², YI Wei-min², LONG Juan²

1. 中央保健局, 北京, 100034;
2. 深圳市孙逸仙心血管医院, 广东, 深圳, 518036

Online:2004-07-20 Published:2004-07-20

摘要/Abstract

摘要： 目的探讨急性心肌梗死(AMI)患者冠状动脉造影大致正常的检出率、伴随的临床症状因素和发生的机制。方法回顾性分析311例接受冠状动脉造影检查的AMI患者,探讨冠状动脉造影大致正常的AMI患者的临床特点。结果 311例AMI患者中检出冠状动脉大致正常者16例(5.15%),平均年龄47.6岁,其中45岁以下占56.3%(9/16),有吸烟史者66.6%(10/16),诱因为情绪激动者25%(4/16),发病前有过度劳累史者50%(8/16),既往有心绞痛病史者仅为12.5%(2/16)。5例患者曾行静脉溶栓治疗且均获成功(5/5)。结论正常或轻度异常冠脉患者亦可发生AMI,吸烟和过度劳累可能为诱发冠脉痉挛而导致AMI的重要因素。大致正常冠脉AMI患者的实验室检查和心电图的演变与冠脉异常的AMI患者无明显差别。

Abstract: Objective To investigate the detection rate and possible causes of acute coronary infarction (AMI) patients with roughly normal coronary artefiographic (CAG) findings. Method A retrospective analysis was conducted in 311 cases of AMI undergoing CAG examination. Result Of these 311patients, 16 patients, whose age averaged 47.6 years, had roughly normal findings in CAG, including 9 below the age of 45 years, 10 with smoking history, and 5 with successful thrombolysis. Conclusion Patients with normal or roughly normal CAG finding might also have AMI likely induced by coronary artery thrombosis and spasm.

中图分类号:

R542.220.4

曾展生¹, 李忠红², 衣为民², 龙娟². 冠状动脉造影大致正常的急性心肌梗死患者临床分析[J]. 南方医科大学学报, 2004, 24(07): 834-835.

ZENG Zlaan-sheng¹, LI Zhong-hong², YI Wei-min², LONG Juan². Clinical analysis of acute coronary infarction patients with roughly normal coronary arteriographic findings[J]. Journal of Southern Medical University, 2004, 24(07): 834-835.

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