心律失常患者冠脉造影结果与冠心病相关性临床探讨

Discussion on the correlation between the coronary arteriongraphy result of patients with arrhythmia and coronary heart disease

目的:分析冠心病患者冠脉造影结果,探讨心律失常与冠心病的相关性。方法:对213例有心律失常且疑似冠心病的患者进行冠脉造影检查,按照冠脉造影结果,将患者分为A、B两组,并对心律失常与冠状动脉病变的关系进行分析。结果:两组冠脉造影结果阳性共122例,占总数的57.28%,A组110例患者中,冠脉造影结果证实为冠心病的患者105例,阳性率为95.45%;B组103例患者中,冠脉造影诊断为冠心病者17例阳性率为16.50%,与A组相比差异有非常显著性(P<0.05)。结论:临床医生在诊断心律失常患者病因时要慎重,以免误诊给患者带来负面影响。

Objective： To analyze the coronary arteriongraphy result of patients with coronary heart disease, and discuss the correlation between arhythmia and coronary heart disease. Methods： 213 patients who were with arrhythmia and potential coronary heart disease were performed with coronary arteriongraphy, then the patients were divided into two groups according to the coronary arteriongraphy result： group. A and group B, and the correlation between arrhythmia and coronary heart disease was further analyzed. Results： 122（57.28%） patients in two groups showed positive coronary arteriongraphy result, with 105 （95.45%） patients in group A of 100 patients and 17 （16.50%） patients in group B of 103 patients respectively, and a significant difference of the amount of positive patients was shown between group A and group B （P〈0.05）. Conclusion： Clinician must be prudent when diagnosing the cause of arrythmia in order to avoid resulting in negative influence for misdiagnosis.