冠状动脉造影检查在心律失常和心肌缺血患者诊断中的结果差异

The difference of coronary angiography in the diagnosis of arrhythmia and myocardial ischemia

目的分析冠状动脉造影检查在心律失常和心肌缺血患者诊断中的结果。方法收集2016年1月—2019年7月在中山市人民医院行冠状动脉造影的180例患者资料进行回顾性分析,按照临床症状的不同将其分为甲组和乙组,甲组90例患者症状表现为心律失常,乙组90例患者症状表现为心肌缺血。分析2组患者冠状动脉造影的阳性病变率、病变类型,以及诱发冠心病的主要危险因素。结果甲组冠状动脉造影检出阳性率为47.78%,明显低于乙组的74.44%,差异有统计学意义(P<0.05);乙组空腹血糖、胆固醇、甘油三脂水平显著高于甲组,差异有统计学意义(P<0.05)。结论和心律失常症状相比,有心肌缺血症状的患者更容易引发冠心病,冠状动脉造影检查可及时确诊。

Objective To study and analyze the results of coronary angiography in the diagnosis of arrhythmia and myocardial ischemia.Method The data of 180 patients who underwent coronary angiography in our hospital from January,2016 to July,2019 were collected for retrospective analysis,and the patients were divided into group A and group B according to their clinical symptoms,and group A 90 The symptoms of 1 patient were arrhythmia,and the symptoms of 90 patients in group B were myocardial ischemia.Analyze the positive lesion rate,lesion type,and main risk factors of coronary heart disease in the two groups of patients under coronary angiography.Results The positive rate of coronary angiography in group A was 47.78%,which was significantly lower than that of group B,which was 74.44%.The difference was significant(P<0.05);the fasting blood glucose,cholesterol and triglyceride levels in group B were significantly higher In group A,the difference is greater(P<0.05).Conclusion Compared with patients with arrhythmia symptoms,patients with myocardial ischemia are more likely to cause coronary heart disease.Coronary angiography can diagnose coronary heart disease in time and provide patients with a good treatment plan.