摘要
目的 观察心脏瓣膜病患者的冠状动脉病变的发生率。方法 对 46 3例心脏瓣膜病患者术前临床资料和选择性冠状动脉造影的结果进行综合分析。结果 心脏瓣膜病并发冠状动脉病变发生率为 16 8% ,其中无症状占 88 3%。结论 年龄大于 5 0岁者 (有冠心病危险因素者提前到 45岁 ) ,心脏瓣膜置换术前应常规行选择性冠状动脉造影检查 ,以减少手术并发症 。
This article reported the results of coronary angiography in patients with valvular heart disease Methods We analyzed 463 patients with valvular heart disease before surgery, all of whom were performed with angiography Results The complication of coronary artery disease in valvular disease is 16 8% 88 3% of which were asymptomatic Since diagnosis of assaciated coronary artery disease can not be made by no-invasive methods Conclusion Coronary arteriography is the reliable means to confirm the coronary artery lesion The results suggested that preoperative selective coronary angiography should be performed in patients older than 50 years old (45 years old with coronary artery risk factors) before valve replacement in order to decrease occurrence of complication
出处
《中国介入心脏病学杂志》
2000年第3期133-134,共2页
Chinese Journal of Interventional Cardiology
