女性冠心病临床特点探讨(附276例报告)

Exploration of characteristic of coronary heart disease in woman

目的 :探讨女性冠心病的临床特点。方法 :对 2 76例不同性别冠心病患者临床特点进行回顾性对比分析。结果 :1在 2 4小时动态心电图 (Holter)阳性者中 ,安静时心肌缺血发作率 ,女、男性分别为 2 8%和 13% ;2冠状动脉造影阳性组 2 6 1例中女、男性 Holter敏感性分别为 83.5 %和 6 3.6 % ,冠脉造影阴性者中 Holter阳性率女、男性分别为12 .4%和 1.6 % ;3心绞痛发生率女、男性分别为 94%和 82 % ;4≤ 5 0岁的冠心病患者中女、男性分别为 5 .2 %和 2 9.6 % ;5稳定型心绞痛发生率 :≤ 6 0岁女、男性分别为 13%和 34%。以上各组女、男性比较 ,均具有显著性差异 (P<0 .0 1)。结论 :女。

Objective:To explore the characteristic of coronary heart disease(CHD) in woman.Methods:Data of 276 patients with CHD were analyzed. Results:(1) Myocardial ischemia rate of man was 13%,but it of woman was 28% in patients with positive dynamic electrocardiography(DCG); (2) DCG sensitivity of man was 63 6%,,but it of woman was 83 5% in 261 patients with positive coronary arteriongraphy; DCG sensitivity of man?woman respectively was 1 6%?12 4% in patients with negative coronary arteriongraphy;(3) Angina pectoris rate of man?woman respectively was 82%?94%;(4) Patients with CHD of man?woman respectively was 29 6%?5 2% in the patients whose age ≤50;(5) Stable angina rate of man?woman respectively was 34%?13% in the patients whose age ≤60 age patients.Difference of 2 indexes for each group was significant( P <0 01).Conclusion:There are distinctive characteristic of CHD in different sex.