老年冠状动脉瘘8例

8 aged patients with coranary artery fistula

目的 探讨老年冠状动脉瘘的特点。方法 对8例老年冠状动脉瘘病例的临床症状,体征,辅助检查的综合分析。结果 心肌缺血是老年冠状动脉瘘的主要表现,易误诊为冠心病。结论长期出现心肌缺血症状的患者,随着的年龄的增加,症状越来越明显,应考虑诊断冠状动脉瘘,冠状动脉造影是确诊冠状动脉瘘的最可靠的方法。

Objective To investigate the character and differentiation diagnosis of coronary artery fistula in aged.Methods Clinical symptom, sign and laboratory examination were analyzed in 8 aged patients with coronary artery fistula. Results Myocardial ischemia is the main manifestation of agedness coronary artery fistula, and should be discriminated with coronary artery disease. Conclusion If myocardial ischemia symptom aggravates with age in patient with long-term angina, coronary angiogram is the most dependable method.