有心绞痛病史急性心肌梗死患者的冠脉造影特点A Study on the Coronary Angiographic Characteristics of Ami Patients With Angina Pectoris History
林虹,王风,林英忠,覃丽萍,陈秀琼
LIN Hong; WANG Feng; LIN Ying zhong; QIN Li ping; CHEN Xiu qiong(Department of Cardiology;
摘要(Abstract):
目的 :探讨有心绞痛病史的急性心肌梗死患者冠脉病变特点。方法 :对 94例急性心肌梗死患者进行冠脉造影。结果 :心梗前有心绞痛病史的急性心肌梗死患者冠脉病变严重 ,累及血管支数多 ,病变形态复杂 ,侧支循环丰富 (P <0 0 5 )。结论 :心绞痛对急性心肌梗死有保护作用
Objective:To study the coronary angiographic characteristics of acute myocardiol infarction (AMI) patients with prior angina pectoris.Methods:94 patients of AMI underwent coronary angiography.Results:The stenosis of the culprit coronary artery in AMI patients with angina pectoris history was more severe, more branch was involved and the lesion was more complex,and collateral circulation was richer than that in AMI patients with out angina pectoris histry(P<0 05).Conclusion:Angina pectoris plays a protective role in AMI.
关键词(KeyWords):
心绞痛,不稳定型;心肌梗塞;冠状血管造影术;缺血预适应
angina,unslable; myocardial infarction; coronary angiography;preconditioning with ischemia
基金项目(Foundation):
作者(Authors):
林虹,王风,林英忠,覃丽萍,陈秀琼
LIN Hong; WANG Feng; LIN Ying zhong; QIN Li ping; CHEN Xiu qiong(Department of Cardiology;
DOI: 10.19367/j.cnki.1000-2707.2001.01.019
参考文献(References):
- [1]MatsudaM ,MatsudaY ,OgawaH ,etal.Angiapectorisbeforeandduringacutemyocardiolinfarction :relationtodegreeofphysicalactivity [J].AmJCardiol,1985 ,5 5 :12 5 5 .
- [2 ]MurryCF ,JenningsRB ,ReimerKA .Preconditioningwithischemia :adelayofcellinjuryinischemicmyocardi um [J].Circulation ,1986 ,74:112 4- 1136 .
- [3]YangXM ,BanterGF ,HeadsRJ ,etal.Infarctlimitationofthesecondwindowofprotectioninaconsciousrabitmode [J].CardiovaseRes,1996 ,31:777.
- [4 ]陈在嘉 ,徐义枢 ,孔华宇 ,等 临床冠心病学 [M ] 北京 :人民军医出版社 ,1994.390
- [5 ]BagotyP ,DagenaisGR ,CantinB ,etal.Prognosisinpa tientswithastronglypositiveexerciseelectrocardiogram[J].AmJCandiol,1989,6 4:12 84.
- [6 ]ThorntonJD ,LinGS ,OlssonRA ,etal.IntravenouspretreatmentwithA1-selectiveadenosineanaloguesprotectstheheartagainstinfarction [J].Circulation ,1992 ,85 :6 5 5 - 6 6 5 .
- [7]KMAHussion ,LGroup ,TBharathan ,etal.Arterio graphicmorphologyandintracoronarythrombusin pa tientswithunstableangina ,non -Qwavemycardialin farctionandstableanginapectoris [J].Angiology ,1995 ,46 :181- 189
文章评论(Comment):
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- 心绞痛,不稳定型
- 心肌梗塞
- 冠状血管造影术
- 缺血预适应
angina,unslable - myocardial infarction
- coronary angiography
- preconditioning with ischemia