摘要
目的:探讨无症状性心肌缺血患者的病因及临床分析。临床资料与方法:选自冠脉造影432例患者,无症状性心肌缺血有58例。男性41例,女性17例,平均年龄67.9岁。所有患者均连续三天查了心电图,心脏彩超,冠状动脉造影。对造影正常无瓣膜及心肌病变身体许可者行运动平板试验检查。结果:冠心病17例,冠状动脉痉挛1例,肌桥2例,冠状动脉粥样硬化12例,冠状动脉正常29例。运动平板检查18例中2例阳性。结论:无症状心肌缺血患者冠心病占据重要成分,冠状动脉痉挛、冠状动脉肌桥、x-综合征、瓣膜病变、心肌病变是无症状性心肌缺血的原因,另外自主神经功能紊乱,体位.饱餐.过度换气也可引起ST-T改变,ST-T形态改变及改变部位对临床诊断有帮助。
Object It is a study on the etiopathogenisis and clinical analysis of silent myocardial ischemia. Material and methods There were 432 patients were diagnosed with coronary angiography, and in these patients 58 were silent myocardial ischemia. There were 41 male and 17 female. The average age was 67.9. All these patiens were examined with electrocardiogram, color Doppler echocardio- gram, coronary angiography in series. Patients with normal aeteria coronaria, valve, myocardium and has perfect tolerance were examined with cardiac load examination. Result There were 17 patients with coronary atherosclerotic heart disease, 1 was aeteria coronaria cramp, 2 were myocardial bridge, 12 were coronary atherosclerotie, 29 were aeteria coronaria normal. 18 patients were checked up with cardiac load examination and 2 were masculine. Conclude Coronary atherosclerotic heart disease was the most important etiopathogenisis of silent myocardial ischemia. The other etiopathogenisis were aeteria coronaria cramp, myocardial bridge, syndrome X, valve disease and myocardium disease. Otherwise, autonomic nerve functional disorder, posture, eating too roach, excess air exchange can make change of ST - T. The shape and site of ST - T can make for clinical diagnosis.
出处
《中国民族民间医药》
2009年第22期38-39,共2页
Chinese Journal of Ethnomedicine and Ethnopharmacy
关键词
无症状性心肌缺血
病因
ST—T形态改变
silent myocardial ischemia
etiopathogenisis
The shape and site of ST- T
