CAJ | 학술논문

目的：探讨症状不典型的心绞痛患者冠脉病变情况。方法：对16例无明显心绞痛症状的冠心病患者和既往无冠心病病史因急性冠脉综合征首次就诊的患者进行冠脉造影，通过分析冠脉造影结果评价冠脉病变特点。结果：冠脉造影显示，冠心病患者中三支病变人数最多9例(56.25%)，双支病变6例(37.5%)，单支病变最少1例(6.25%)。3组人群中糖尿病、高血压、高血脂等冠心病危险因素之间无明显差异。结论：严重冠脉病变患者往往因侧支循环形成等原因导致心绞痛发作时症状不典型，故老年人需要结合年龄、早发家族史、心电图、血压、血糖、血脂水平等综合评估，必要时及早行冠脉造影检查并给予积极治疗避免恶性心血管事件发生。
목적：탐토증상불전형적심교통환자관맥병변정황。방법：대16례무명현심교통증상적관심병환자화기왕무관심병병사인급성관맥종합정수차취진적환자진행관맥조영，통과분석관맥조영결과평개관맥병변특점。결과：관맥조영현시，관심병환자중삼지병변인수최다9례(56.25%)，쌍지병변6례(37.5%)，단지병변최소1례(6.25%)。3조인군중당뇨병、고혈압、고혈지등관심병위험인소지간무명현차이。결론：엄중관맥병변환자왕왕인측지순배형성등원인도치심교통발작시증상불전형，고노년인수요결합년령、조발가족사、심전도、혈압、혈당、혈지수평등종합평고，필요시급조행관맥조영검사병급여적겁치료피면악성심혈관사건발생。
Objective:To explore the coronary artery lesions condition of patients of coronary heart disease with atypical symptoms. Methods:16 patients of coronary heart disease with atypical symptoms and patients of acute coronary syndrome without the history of coronary heart disease were selected,they were examined by coronary angiography.We evaluated the coronary artery disease characteristics through the analysis of the results of coronary angiography.Results:Coronary angiography showed,in patients with coronary heart disease,the number of three branch lesions was the most with 9 cases(56.25%),6 cases(37.5%) were double branch lesions,1 case(6.25%) was single branch lesion.There was no significant difference among 3 groups of the risk factors of coronary heart disease,such as diabetes,hypertension,hyperlipidemia and so on.Conclusion:In patients with severe coronary artery disease, the symptom is not typical during angina pectoris because of the reason of the formation of collateral circulation.Therefore,the elderly should be given comprehensive evaluation combined with age,family history,electrocardiogram,blood pressure,blood glucose,blood lipid level and so on.When necessary,patients should be given early coronary angiography and active treatment in order to avoid the serious cardiovascular events.