冠心病并发糖尿病患者临床及冠状动脉造影特点

The Clinical and Coronary Angiographical Characteristics in Coronary Heart Disease With Type 2 Diabetes Mellitus

目的 观察并发糖尿病的冠心病患者临床特征及冠状动脉造影特点。方法 对24例选择性冠状动脉造形确诊的并发糖尿病的冠心病患者(DM组)的临床资料及冠状动脉造影结果进行了分析,并与无糖尿病的50例冠心病患者(非DM组)进行比较。结果 DM组血脂异常、无痛性心肌缺血显著高于非DM组;DM组受累血管比例较高,2支及3支病变发生率显著高于非DM组;并且C型病变比例较高而在室射血分数明显低于非DM组。结论 并发糖尿病的冠心病患者冠状动脉病变严重、病变部位多且弥漫,左室射血分数降低。

Objective To study the clinical and coronary angiographical characteristics in coronary heart disease(CHD) with type 2 diabetes mellitus(T2DM). Methods The clinical features and the data from selective coronary angiographies were compared between the CHD patients with and without T2DM. Results The CHD patients with T2DM had more frequencies of dyslipidemia and silent iso-cheim; More CHD patients with T2DM suffered from severe coronary steno sis than those without T2DM, and their left ventricular election fraction (LVEF) were lower. Conclusions The CHD patients with T2DM have much great extent of coronary artery involvement and more diffusing vascular lesion and lower LVEF.