摘要
目的 探讨急性心肌梗死 (AMI)患者冠状动脉造影正常的发生率 ,并分析其临床特点。方法 回顾分析了 1987年 5月至 2 0 0 1年 5月 86 9例AMI患者冠状动脉 (冠脉 )造影结果及有关冠心病的危险因素。结果 86 9例AMI患者中冠脉造影正常者为 6 7例 ,占 7 7%。分析其临床特点 ,该组患者中以年龄较轻 ,多无心绞痛病史、高血压病史、糖尿病史及血脂异常 ,大量吸烟者居多为特征。结论 AMI患者中 ,冠脉造影正常者并非少见 ,提示 ,冠脉痉挛在心肌梗死的发病中可能起着十分重要的作用 ;急性血栓形成伴血栓自溶亦是其病理改变之一。
Objective To investigate the morbidity rate and clinical characteristics of acute myocardial infarction (AMI) with normal coronary angiograms (CAG) Methods The results of CAG and some correlated risk factors in 869 patients with AMI enrolled from May 1987 to May 2001 were analysed Results The patients with AMI and normal CAG accounted for 67/869 (7 7%) patients, most of whom were the younger and somkers, but free of angina pectoris, hypertension, diabetes millitus and hyperlipidemia ( P <0 01) Conclusion CAG negative is not infrequent in patients with AMI The results indicate that coronary artery spasm play an important role in AMI with normal CAG Acute thrombosis and auto thromobolysis is also one of the pathologic changes
出处
《中国介入心脏病学杂志》
2001年第3期128-129,共2页
Chinese Journal of Interventional Cardiology
关键词
心肌梗死
急性
冠状动脉痉挛
冠状动脉造影
Acute myocardial infarction (AMI)
Spasm
Coronary arteriography (CAG)
