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完全性左束支传导阻滞患者的临床和冠状动脉造影特点研究 被引量：1

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摘要 目的探讨完全性左束传导阻滞（LBBB）患者的临床特征、冠状动脉造影特点和其他并发症特点。方法对2007~2009年常规心电图发现为完全性左束传导阻滞并接受冠状动脉造影47例住院患者的临床特点、并发心脏病变和冠脉病变情况进行分析。结果 （1）冠状动脉造影确诊为冠心病者27例（57%）,主诉胸痛或心绞痛16例,无心绞痛者11例。单支病变14例,双支病变8例,三支病变5例;（2）确诊高血压病者5例（11%）,其中有胸痛者1例,无胸痛者5例,冠状动脉造影均正常;（3）扩张型心肌病6例（13%）,其中有胸痛者2例,无胸痛者4例。无胸痛者中仅1例冠状动脉造影是右冠状动脉单支临界病变;（4）确诊瓣膜病2例（4%）,均无胸痛,冠状动脉造影均正常;（5）孤立性LBBB,而无其他器质性心脏病者7例（15%）,其中有胸痛者2例,无胸痛者5例,冠状动脉造影均正常。结论 CLBBB常见于器质性心脏病,尤其是冠心病、扩张型心肌病、高血压病,也可见于健康人。对于LBBB患者需结合高危因素进行全面临床分析,冠脉造影检查对明确LBBB是否并发冠心病是必要的。
作者 张宁 黄浙勇 钱菊英 葛均波
机构地区 台州市立医院 复旦大学附属中山医院
出处 《浙江实用医学》 2010年第5期341-342,362,共3页 Zhejiang Practical Medicine
关键词 左束支传导阻滞 冠状动脉造影 冠心病
分类号 R541.7 [医药卫生—心血管疾病] R816.2 [医药卫生—放射医学]
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参考文献10

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二级参考文献1

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共引文献30

同被引文献20

  • 1Tameem Hamood Mohammed Alshami,欧阳茂,杨侃,蒋卫红,曹宇,张志辉,张梦玺.完全性左束支传导阻滞患者的临床和冠状动脉造影分析[J].晓庄学院学报（医学版）,2007,4(1):47-48. 被引量：4
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二级引证文献7

浙江实用医学
2010年 第5期

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