摘要
目的:观察急性心肌梗死(AMI)冠脉造影正常和异常患者的临床表现特点。方法:706例AMI病人,于心梗12 h内行急诊冠状动脉造影或心梗后7～14 d内行经皮冠状动脉造影术,梗死相关动脉(IRA)再通且无冠脉病变者为冠脉正常组(A),再通且有冠脉病变及PTCA成功者为冠脉异常组(B)。结果:706例患者中冠脉正常组38例,冠脉异常组668例,前者较后者年龄轻,男性、吸烟等诱因多见;造影时TIMI3级多见;ST段抬高总和于90 min回落大(P<0.05);住院期间心脏事件发生率明显降低(P<0.05);出院前超声心动图提示左室射血分数较大(P<0.05)。结论:AMI冠脉造影正常者相对年龄轻,吸烟诱因多,住院期间心功能和临床预后好。
Objective：To observe presentation of acute myocardial infartion （AMI） with normal coronary artery. Method： Patient material 706 cases AMI, all patients reared with coronary angiography after infartion 12hour or 7--14 days . According to coronary angiogram the patients were divided to group A （those with nor- mal coronary artery ） and group B（those with abnormal coronary artery）. Result：There were 38 ease in group A and 668 ease in group B. The group A had more males, more smokers, and more ease with TIMI3 flow in an- giogram than group B. Compared with group B, the group A had much significant restortion of total elevation of ST segment at 90 rain （P〈0.05）, and few cardiac event（P〈 0.05）during hospitalization. Before discharge e- chocardiography showed better left ventricular ejection fraction ingroupA than in group B. Conclusion： Patients of AMI with normal coronary artery are relative gounger and have more males, more inducement, and better cardiac function and clinical outcome during hospitalization.
出处
《内蒙古医学杂志》
2012年第12期1445-1447,共3页
Inner Mongolia Medical Journal
关键词
急性心肌梗死
冠状动脉造影
Acute myocardial infarction
Coronary angiography
