高血压胸痛患者冠状动脉造影结果分析

Analysis of Coronary Angiography Results in Patients with Hypertension and Chest Pain

目的分析高血压胸痛患者接受冠状动脉造影技术检验的临床应用价值。方法方便选择2017年1月—2018年12月该院收治高血压胸痛患者60例为研究目标,均接受冠状动脉造影检查,参照患者临床相关资料分析冠状动脉造影的结果。结果60例患者冠状动脉造影后结果显示,36例患者出现冠脉狭窄情况,占比60.00%,其中包括心肌缺血患者35例,非心肌缺血患者1例。经心脏彩超诊断发现60例患者中43例患者为左心室肥厚情况,17例为非左心室肥厚。其中左心室肥厚患者发生胸痛症状后心肌缺血发生率93.02%明显高于非左心室肥厚患者(χ^2=7.660,P<0.05),而冠状动脉造影阳性率二者间差异无统计学意义(χ^2=0.080,P>0.05)。结论高血压胸痛患者发生心肌缺血症状后未必患冠状动脉狭窄疾病,但会发生冠脉T波,临床需进一步对高血压胸痛患者进行诊治方可鉴别疾病类型。

Objective To analyze the clinical value of coronary artery angiography in patients with hypertension and chest pain.Methods From January 2017 to December 2018,60 patients with hypertension and chest pain were convenient selected as the research targets.All patients underwent coronary angiography.The results of coronary angiography were analyzed with reference to clinical data.Results The results of coronary angiography in 60 patients showed that 36 patients had coronary stenosis,accounting for 60.00%,including 35 patients with myocardial ischemia and 1 patient with non-myocardial ischemia.According to the diagnosis of cardiac color Doppler ultrasound,43 of the 60 patients had left ventricular hypertrophy and 17 had non-left ventricular hypertrophy.The incidence of myocardial ischemia in patients with left ventricular hypertrophy was 93.02%,which was significantly higher than that in patients with non-left ventricular hypertrophy(χ^2=7.660,P<0.05),but there was no significant difference in the positive rate of coronary angiography(χ^2=0.080,P>0.05).Conclusion Patients with hypertensive chest pain may not suffer from coronary artery stenosis after myocardial ischemia,but coronary T wave may occur.Further clinical diagnosis and treatment of patients with hypertensive chest pain is required to identify the disease type.