84例不稳定型心绞痛的临床演变及转归

THE CLINICAL CHANGE AND EVOLUTIONOF UAP WRTH THE STUDY OF 84 CASES

近年来，国内就ＷＨＯ的心绞痛分类，尤其是对不稳定型心绞痛（ＵＡＰ）的早期诊断及治疗愈加重视。本文报告从１９８３．１～１９９４．１２月经住院治疗的ＵＡＰ８４例患者演变为ＡＭ１４１例，达４８．８％３死亡２０例，达２３．８％，已远远超出全国ＡＭＩ平均死亡率。其中冠心病猝死７例，均在猝死前３０分钟或一小时ＥＣＧ证实无梗塞性图形而突然死亡。心源性猝死（ＳＣＤ）８例均为ＡＭＩ者。冠心病猝死７例中有４例无心血管病史达５７．１％，此点亦符合文献报导［７］。可见ＵＡＰ的转归、演变，应引起临床、门急诊的重视。

Recently, the classification of Angina Pectoris of WHO, espelially thediagnosis and treatment of the unstable Angina Pectoris in the early period are paidmore and more attention in our country. The artcle includes 84 cases from 1983. 1to 1994. 12, among with 41 (48. 8%) have devdloped into AMI, While 20 (23.8%) have died. Gorng for beyond the average death rate of AMI in our country.Seven cases of the Sudden Coronary death have not any infarctional figure of ECG,during 30 minutes or one hour before death, four of them(57. 1 % ) having no history about Cardiac drsease, this is Concident with the Papers Published before.Eight cases of the Sudden Cardiac death are all AMI. From thus, the chang andevolution of UAP, must be Paid attention by the clinicians.