缺血伴非阻塞下冠脉疾病患者发生不良心血管事件的危险因素分析

Analysis of Risk Factors for Adverse Cardiovascular Events in Ischemia Patients with Non-Obstructive CoronaryArteries

冠状动脉粥样硬化性心脏病是人类死亡的最主要原因之一,也是对公众健康威胁最大的疾病。目前对冠心病的诊断、治疗及预防等工作,往往局限于与阻塞性冠脉疾病(狭窄>50%),非阻塞性冠脉疾病表现出的胸疼等症状,既往被认为与心脏无关,是良性病变,未引起公众关注。但近几年来研究提示缺血伴非阻塞性冠脉疾病并非良性,因管理的缺乏性,导致发生不良心血管事件。此文探讨缺血伴非阻塞性冠脉疾病患者发生不良心血管事件的危险因素。

Coronary atherogenic heart disease is one of the most leading causes of human death and repre-sents the greatest threat to public health. At present, the diagnosis, treatment and prevention of coronary heart disease are often limited to obstructive coronary disease (stenosis > 50%), chest pain shown by non-obstructive coronary disease, which was considered to be unrelated to the heart, are benign, and have not attracted public attention. However, in recent years, studies have sug-gested that ischemia with non-obstructive coronary disease is not benign, due to the lack of man-agement, leading to adverse cardiovascular events. This article explores the risk factors for adverse cardiovascular events in patients with ischemia and non-obstructive coronary disease.