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老年女性冠心病的误诊原因探讨

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摘要 目的探讨老年女性冠心病的误诊原因。方法对住院老年女性冠心病患者60例进行回顾性汇总分析。结果老年女性冠心病患者误诊率较高,但低于女性冠心病患者误诊率;合并有高血压、糖尿病的误诊率较低,差异均有统计学意义。结论误诊原因可能与老年女性冠心病患者临床症状不典型,心电图诊断的敏感度、特异度、准确率低于男性,女性微血管结构的损害等有关。
作者 何虹
出处 《中国疗养医学》 2010年第11期1029-1029,共1页 Chinese Journal of Convalescent Medicine
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  • 1Hochman JS, Tamis JE, Thompson TD, et al. Global Use of Strategies to Open Occluded Coronary Arteries in Acute Coronary Syndromes Ⅱ b Investigators. Sex, clinical presentation, and outcome in patients with acute coronary syndromes[J]. N Engl J Med,1999,341:226-232.
  • 2Glaser R,Herrmann HC,Murphy SA,et al. Benefit of an early invasive management strategy in women with acute coronary syndromes [ J ]. JAMA, 2002,288 : 3124-3129.
  • 3Diver D J, Bier JD, Ferreira PE, et al. Clinical and artefiographic characterization of patients with unstable angina without critical coronary arterial narrowing ( from the TIMI-ⅢAV Trial) [J]. Am J Cardiol,1994,74:531-537.
  • 4Johnson BD, Shaw L J, Buchthal SD, et al. Prognosis in women with myocardial ischemia in the absence of obstructive corenaty disease:results from the National Institutes of Health-National Heart, Lung and Blood Institute-sponsored Women's Ischemia Syndrome Evaluation(WISE) [J].Circulation,2004,109:2993-2999.
  • 5Halcox JP, Schenke WH, Zalos G, et al. Prognostic value of coronary vascular endothelial dysfunction [J]. Circulation, 2002,106 : 653 -658.
  • 6Panting JR, Gatehouse PD, Yang GZ, et al. Abnormal subendocardial perfusion in cardiac syndrome X detected by cardiovascular magnetic resonance imaging [J]. N Engl J Med,2002 ,346 :1948-1953.
  • 7Mark DB,Califf R M ,Morris KG,et al. Clinical characteristics and long-term survival of patients with variant angina[ J ]. Circulation, 1984,69:880-888.
  • 8Opherk D, Mall G,Zebe H, et al. Reduction of coronary reserve: a mechanism for angina pectoris in patients with arterial hypertension and normal coronary arteries [J]. Circulation, 1984,69 : 1-7.
  • 9Reis SE, Holubkov R, Conrad Smith A J, et al. Coronary microvascular dysfunction is highly prevalent in women with chest pain in the absence of corenary artery disease:results from the NHLBI WISE study[J]. Am Heart J,2001,141 : 735-741.
  • 10Doyle M, Fuisz A, Kortright E, et al. The impact of myocardial flow reserve on the detection of coronary artery disease by perfusion imaging methods:an NHL- BI WISE study[J]. J Cardiovasc Magn Reson,2003,5:475-485.

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