摘要
为了解女性冠心病心绞痛的临床诊断问题,本组回顾性分析100例女性患者临床诊断冠心病心绞痛行冠状动脉(冠脉)造影检查的临床资料。冠心病组:以冠脉造影血管狭窄≥75%诊断为冠心病,冠脉狭窄50%~75%且临床有心肌缺血证据者也诊断为冠心病,共48例。冠脉造影结果除外冠心病者52例,为对照组。比较二者有关冠心病危险因素和临床胸痛特点。结果显示绝经是女性冠心病特殊危险因素,绝经后冠心病发生率增加。女性冠心病临床胸痛症状常不典型,绝经后出现典型或不典型胸痛,同时又有明显冠心病危险因素,发生冠心病可能性大。绝经后仅有典型或不典型胸痛,而无明显危险因素,则发生冠心病可能性较小。
Theclinicaldataof100femalecaseswithsuspectedcoronaryheartdisease(CHD)under-goingcoronaryarteryangiography(CAA)wereanalysed.CHDwasdefinedasanestimateddiametersteno-sisof75%andmoreinthemaincoronaryarteriesorcoronarystenosisof50%~75%withevidenceofcar-diacischemia.Forty-eightcasewereconfirmedashavingCHDbyCAA.Theremaining52caseswerecon-firmedasnon-CHDandservedasthecontrolgroup,including49caseswithnormalcoronaryarteriesand3caseswithstenosisoflesthan50%intherightcoronaryarteryorleftanteriordescendingartery.TheriskfactorsofCHDandclinicalcharacteristicsofchestpainwerecomparedforthetwogroups.ThedatademonstratedthatmenopausewasaspecialriskfactorforfemalesandtheincidenceofCHDwasincreasingwithagingaftermenopause.However,theclinicalcharacteristicsofchestpaininfemaleCHDwereusualyatypical.Whenchestpain,whetherclinicalytypicaloratypical,werepresentaftermenopauseandaccom-paniedbyevidentriskfactors,theprobabilityofCHDwouldbehigh.Iftherewasonlychestpainwithoutanyriskfactoraftermenopause,thediagnosisofCHDwouldbeleslikely.
出处
《中华内科杂志》
CAS
CSCD
北大核心
1996年第4期239-241,共3页
Chinese Journal of Internal Medicine