摘要
目的：分析女性冠心病（ＣＨＤ）患者的临床及冠状动脉病变特征，并探讨常规和动态心电图的诊断价值。方法：将７２例临床疑有ＣＨＤ的女性患者行冠状动脉造影，并分为３组：冠状动脉狭窄≥５０．０％为ＣＨＤ组（３２例），冠状动脉狭窄＜５０．０％或正常并除外Ｘ综合征者为非ＣＨＤ组（３１例），符合Ｘ综合征者为Ｘ组（９例）；并比较各组临床特征。结果：普通和动态心电图诊断ＣＨＤ的敏感性和特异性相似均约为４５．０％和６０．０％。ＣＨＤ组中２８．１％有典型心绞痛，７１．９％为单支血管病变，其冠状动脉病变范围积分为６．１４±４．１２，其中绝经和危险因素≥２个者占８０．０％以上，相反非ＣＨＤ组和Ｘ组约占３０．０％。结论：女性ＣＨＤ患者心绞痛不典型且冠状动脉病变较轻，多发生于绝经后；
Objective:To study the clinical and coronary lesion data of the female patients with coronary heart disease (CHD),and to probe the diagnostic value of routine and ambulatory electrocardiography. Methods:Seventy two female patients with suspected CHD undergoing coronary angiography were divided into three groups.Coronary stenosis ≥50.0% was defined as CHD group (32 cases).Typical anginia and ischemic electrocardiography changes with normal coronary angiography were acted as X syndrome group (9 cases).The remaining cases were served as non CHD group (coronary stenosis<50.0%,31 cases).The clinical data of the three groups were compared. Results:The sensitivity and specificity routine and ambulatory electrocardiography were similar (45 0% and 60 0% respectively).28.1% cases with CHD had typical anginia.71.9% of CHD patients were one vessel lesion and their coronray lesion score was 6.14±4.12.Menopause and≥2 risk factors were more common in CHD patients (>80 0%) than those with non CHD and X syndrome (30.0%). Conclusion:The female patients with CHD may have atypical angina and mild coronary lesion.Menopause was more common in these patients.The diagnostic value of the electrocardiography for the female with CHD was limited.
出处
《中国循环杂志》
CSCD
北大核心
1998年第5期274-276,共3页
Chinese Circulation Journal
关键词
冠心病
冠状动脉造影
心电图
Coronary artery disease
Coronary artery angiography
Risk factors
