摘要
目的探讨冠心病（ＣＨＤ）合并非胰岛素依赖型糖尿病（ＮＩＤＤＭ）患者的临床及冠状动脉（冠脉）造影特点。方法对冠脉造影病例进行临床表现和血管造影资料对照分析。结果冠心病合并ＮＩＤＤＭ者倾向于聚集多种心血管危险因素（高血压、血脂异常）。ＮＩＤＤＭ对女性的血脂异常影响似乎更为显著。与非糖尿病的冠心病患者相比，冠心病合并ＮＩＤＤＭ者不稳定心绞痛多见，且女性心肌梗死危险性增高。其冠脉血管受累程度高且弥漫性血管病变多见。结论合并ＮＩＤＤＭ与不合并ＮＩＤＤＭ冠心病患者的临床及冠脉造影表现有明显差异，前者冠脉病变更加严重且弥漫。
Objective To study the clinical and angiographical characteristics of coronary heart disease (CHD) in CHD patients with non insulin dependent diabetes mellitus (NIDDM). Methods The study was carried out by case control analysis of the clinical manifestations and the data from cine selective coronary angiography. Results CHD patients with NIDDM tended to have multiple cardiovascular risk factors. It is likely that NIDDM contributed more to dyslipidemia in the female than in the male. Unstable angina pectoris was found more frequently in CHD patients with NIDDM than in those without. The female CHD patients with NIDDM were more frequently afflicted with myocardial infarction. Moreover, CHD patients with NIDDM had much greater extent of coronary vessel involvement and more diffuse vascular lesion. Conclusion The clinical and angiographical findings are quite different in CHD patients with and without NIDDM. The lesions in the coronary arteries tend to be more severe and diffuse in patients with NIDDM.
出处
《中华内科杂志》
CAS
CSCD
北大核心
1999年第1期27-29,共3页
Chinese Journal of Internal Medicine
关键词
冠心病
糖尿病
NIDDM
冠状动脉造影
Coronary disease Diabetes mellitus, non insulin dependent Coronary angiography
