摘要
对82例不稳定性心绞痛患者进行回顾性研究。结果表明:该病多见于老年男性(占86.6%)。高血压、高胆固醇血症、糖尿病、吸烟、饮酒史、冠心病家族史和高血压(或)脑血管病家族史均是其危险因素,分别占63.4%、36.6%、22.0%、82.9%、34.1%、34.1%和70.7%。冠状动脉造影病变部位最多见于前降支(占84.1%)。其次为右冠脉(占48.8%),左旋支(占32.9%),左冠脉主干(占6.1%),其中Ⅲ—Ⅴ级病变占76.6%,77.3%为偏心性狭窄。初发劳力型心绞痛85.7%为单支病变,自发型心绞痛50%为Ⅰ-Ⅱ级病变,且有4例冠脉造影结果大致正常,96.3%的恶化劳力型心绞痛,84.6%的梗塞后心绞痛为多支病变。9例有室壁瘤形成,既往均有心肌梗塞病史。
Retrospective analysis was performed on 82 patients with unstable angina pectoris.The results were as follows:Most of the patients(86.6%)were men.The history of hypertension, hypercholesterolemia,diabetes,smoking,drinking,the family-history of coronary heart disease and hypertension(or)cerebral vascular disease were all its risk factors,accouted for 63.4%,36.6%,22.0% 82.9%,34.1%,34.1%and 70.7%of 82 total cases,respectively.Coronary angiography showed that the stenosis of LAD,RCA, LCX,and LMCA were found in84.1%,48.8%,32.9%and 6.1%of total patients.Ⅲ to V level accounted for 76.6% of 141 total stenosis.77.3% of other 132 stenosis were eccentric stenosis except 9 completely total occlusion.Single-vessel disease was 85.7% in de novo effect angina patients.In the spontaneous angina patients,Ⅰand Ⅱlevel lesions were 50%,four cases showed normal or nearly normal.96.3% of the worsening effort and 84.6% of the after-MI angina patients were double or triple-vessel disease.9 cases had ventricularaneurysm,which all had the history of myocardial infarction.
出处
《心肺血管病杂志》
CAS
1996年第2期74-76,共3页
Journal of Cardiovascular and Pulmonary Diseases
关键词
不稳定性
心绞痛
冠状动脉造影
Unstable angina pectoris
Coronary angiography