摘要
目的探讨高血压患者胸痛与冠状动脉狭窄和心肌缺血之间的关系。方法对119例因胸痛入院的高血压病患者的冠状动脉造影结果分析以及收集患者临床资料与冠状动脉造影结果对比分析。结果119例高血压病伴胸痛的患者中诊断心肌缺血101例,73例存在冠状动脉狭窄,阳性率为61.3%,冠状动脉迂曲、僵硬、血流减慢。结论长期高血压而出现心肌缺血临床表现的患者可无冠状动脉狭窄病变,但可出现冠状T波、运动试验性阳性,应进一步提高对高血压病和冠心病复杂临床表现的认识。
Objective To study the relationship of chest pain to the coronary stenosis and myocardial ischemia in patients with essential hypertension. Methods We re-viewed the coronary angiographical and clinical data of 119 hypertensive patients. Results There are 101 patients diagnosed myocardial ischemia and 73 patients presenting coronary stenosis in 119 chest pain patients with hypertension. Conclusion Many patients of hypertension with normal coronary artery may suffer from typical myocardial ischemia and present coronary T waves and positive results in exercise test. It should be paid attention to the diagnosis of angina in patients with hypertension.
出处
《中国心血管病研究》
CAS
2005年第2期132-133,共2页
Chinese Journal of Cardiovascular Research
关键词
高血压病
冠状动脉造影
胸痛
Hypertension
Coronary angiography
Chest pain
