摘要
心脏瓣膜病患者瓣膜置换术前了解冠状动脉形态和变异，对手术时是否同时作搭桥术及术后处理有重要意义，国内对此报道极少。我们对１６９例心脏瓣膜病者术前临床资料和冠状动脉造影结果进行综合分析对比，结果表明：１４．８％的心脏瓣膜病伴发冠心病，其中无症状者占８０％。由于瓣膜病患者常有心电图ＳＴ－Ｔ的非特异性改变（本组达７８．４％），使临床常用的无创性检查不能对合并冠心病作出肯定诊断，必须作冠状动脉造影才能确诊。本研究表明，年龄大于５０岁者，心瓣膜置换术前应常规行冠状动脉造影检查，以减少手术并发症及病死率。
It is important to perform pre-operative coronary arteriography in order to detect the presence of lesion or/and variation of coronary artery for deciding whether coronary artery bypass graft should be done simutaneously at the time of cardiac surgery for valvular heart disease. No report was found regarding this topic in domestic literature. This article report the results of coronary arteriography in 169 patients with valvular heart disease. The incidence of coronary artery disease is 14. 79%,80% of which were asymptomatic. Non-specific ST-T changes iD resting ECG were usually found in patients with valve lesion (78%this group), therefore, diagnoses of associated coronary artery disease can not be made by non-invasive methods. Coronary arteriography is the reliable means to confirm the coronary artery lesion. The results suggest that pre-operative coronary arteriography should be performed in patients older than 50 years before valve replacement in order to decrease the possibility of complication and mortality.
出处
《中国介入心脏病学杂志》
1996年第2期49-51,共3页
Chinese Journal of Interventional Cardiology
关键词
心脏瓣膜病
冠状动脉造影
诊断
valvular heart diseases coronry arteriography
