CAJ | 학술논문

目的：通过分析以急性左心衰竭为首发症状的急性非ST段抬高型心肌梗死（ NSTEAMI）患者的冠状动脉造影、临床特点，以提高临床诊治水平。方法分析2010年12月至2012年12月在安阳地区医院住院治疗的以急性左心衰竭为首发症状的急性心肌梗死患者的冠状动脉造影结果及临床资料。结果与急性ST段抬高型心肌梗死患者比较，以急性左心衰竭为首发症状的NSTEAMI患者的年龄大，既往多有心绞痛或心肌梗死病史，多合并有糖尿病。冠状动脉造影多为三支病变，累及左主干病变、侧支循环形成、弥漫性长病变、慢性闭塞病变的发生率高。结论以急性左心衰竭为首发心肌梗死症状的急性非ST段抬高性心肌梗死患者多合并有糖尿病，既往多有心绞痛或心肌梗死病史，冠状动脉造影多为三支病变，但急性闭塞发生率低，老年女性是此类患者的易患人群。
목적：통과분석이급성좌심쇠갈위수발증상적급성비ST단태고형심기경사（ NSTEAMI）환자적관상동맥조영、림상특점，이제고림상진치수평。방법분석2010년12월지2012년12월재안양지구의원주원치료적이급성좌심쇠갈위수발증상적급성심기경사환자적관상동맥조영결과급림상자료。결과여급성ST단태고형심기경사환자비교，이급성좌심쇠갈위수발증상적NSTEAMI환자적년령대，기왕다유심교통혹심기경사병사，다합병유당뇨병。관상동맥조영다위삼지병변，루급좌주간병변、측지순배형성、미만성장병변、만성폐새병변적발생솔고。결론이급성좌심쇠갈위수발심기경사증상적급성비ST단태고성심기경사환자다합병유당뇨병，기왕다유심교통혹심기경사병사，관상동맥조영다위삼지병변，단급성폐새발생솔저，노년녀성시차류환자적역환인군。
Objective To study the clinical features and coronary angiographic characteristics of non-ST-segment elevation acute myocardial infarction first presenting acute heart failure. Methods The clinical data and coronary angiographic results of patients with myocardial infarction first presenting the left heart failure were retrospectively analyzed. Results Compared with the STEMI group,the patients of non-ST-segment elevation acute myocardial infarction first presenting acute heart failure were elder, and most of them had myocardial infarction history,angina,accompanied with diabetes mellitus. The in-cidence of three vessel disease,left main artery disease,branch cycle formed,diffuse disease,chronic obliterated disease was more higher. Conclusions Among the patients of non-ST-segment elevation a-cute myocardial infarction first presenting acute heart failure,most of them had myocardial infarction his-tory,angina,accompanied with diabetes mellitus. Coronary artery diseases are mostly severe and multi-ple,but the incidence of acute obliteration is low. And senile female are susceptible population.