心电图杂志（电子版）
心電圖雜誌（電子版）
심전도잡지（전자판）
Journal of Electrocardiogram (Electronic Edition)
2013年
2期
77-79
,共3页
林乐健%唐发宽%华宁%邸春霞%唐雪正
林樂健%唐髮寬%華寧%邸春霞%唐雪正
림악건%당발관%화저%저춘하%당설정
心电图%胸痛%冠状动脉造影术%冠心病
心電圖%胸痛%冠狀動脈造影術%冠心病
심전도%흉통%관상동맥조영술%관심병
ECG%chest pain%coronary angiography%coronary heart disease
目的探讨静息心电图正常的急性胸痛患者冠状动脉（冠脉）造影及临床特点。方法选择196例心电图无明显ST-T改变的患者作为研究对象，统计患者一般资料以及实验室相关辅助检查结果，所有入选患者最终均行诊断性冠脉造影术检查，以冠状动脉主要血管狭窄大于70％定为冠脉造影阳性，比较冠脉造影阳性与阴性患者的临床资料特点。结果196例中有108例冠脉造影阳性，88例冠脉造影阴性。108例冠脉造影阳性患者中，冠脉多支血管病变82.4％；男性占75％；平均65.2岁；合并糖尿病、肾功能不全、高脂血症病史分别为54.6％、18.5％和87.0％，以上数据同冠脉造影阴性患者相比存在显著性差异（ P＜0.05）。结论静息心电图正常的胸痛患者冠脉病变发生与性别、年龄、合并其他高危因素有关，其中冠脉造影阳性患者多为冠状动脉多支血管病变。
目的探討靜息心電圖正常的急性胸痛患者冠狀動脈（冠脈）造影及臨床特點。方法選擇196例心電圖無明顯ST-T改變的患者作為研究對象，統計患者一般資料以及實驗室相關輔助檢查結果，所有入選患者最終均行診斷性冠脈造影術檢查，以冠狀動脈主要血管狹窄大于70％定為冠脈造影暘性，比較冠脈造影暘性與陰性患者的臨床資料特點。結果196例中有108例冠脈造影暘性，88例冠脈造影陰性。108例冠脈造影暘性患者中，冠脈多支血管病變82.4％；男性佔75％；平均65.2歲；閤併糖尿病、腎功能不全、高脂血癥病史分彆為54.6％、18.5％和87.0％，以上數據同冠脈造影陰性患者相比存在顯著性差異（ P＜0.05）。結論靜息心電圖正常的胸痛患者冠脈病變髮生與性彆、年齡、閤併其他高危因素有關，其中冠脈造影暘性患者多為冠狀動脈多支血管病變。
목적탐토정식심전도정상적급성흉통환자관상동맥（관맥）조영급림상특점。방법선택196례심전도무명현ST-T개변적환자작위연구대상，통계환자일반자료이급실험실상관보조검사결과，소유입선환자최종균행진단성관맥조영술검사，이관상동맥주요혈관협착대우70％정위관맥조영양성，비교관맥조영양성여음성환자적림상자료특점。결과196례중유108례관맥조영양성，88례관맥조영음성。108례관맥조영양성환자중，관맥다지혈관병변82.4％；남성점75％；평균65.2세；합병당뇨병、신공능불전、고지혈증병사분별위54.6％、18.5％화87.0％，이상수거동관맥조영음성환자상비존재현저성차이（ P＜0.05）。결론정식심전도정상적흉통환자관맥병변발생여성별、년령、합병기타고위인소유관，기중관맥조영양성환자다위관상동맥다지혈관병변。
Objective To investigate the results of coronary angiography and clinical features in patients with acute chest pain and normal resting electrocardiogram .Methods 196 patients with acute chest pain but no significant ST-T changes were selected ,general information and laboratory examinations results are collected ,all pa-tients underwent diagnostic coronary angiography examination , the main coronary artery stenosis greater than 70%was defined as positive coronary angiography ,compared the clinical features and the results of coronary angiography between the positive and negative groups .Results Among the 196 patients,108 patients have one or more ramifi-cation lesions.Among these 108 patients, patients with multivessel lesions of coronary angiography account for 82.4%;male patients accounted for 75%;mean age was 65.2 years;the ratio of diabetes ,renal insufficiency and hyperlipidemia rates were 54.6%, 18.5% and 87.0% respectively , which were significant higher than those in control group(P<0.05 ).Conclusions In the patients with coronary artery disease with normal resting electrocar-diogram when chest pain occurs ,it came with different sex and age attribution ,and combined with other risk factors such as diabetes ,renal insufficiency and hyperlipidemia;besides,most of the patients were multivessel disease .
