摘要
目的:探讨前壁心肌梗死患者的冠状动脉血管病变特点。方法:对207例前壁心肌梗死患者冠脉造影结果进行统计学分析。结果:冠脉血管狭窄≥50%病变429支,≥90%病变231支(53.85%),左前降支159支(37.06%),右冠脉30支(6.99%),回旋支39支(9.09%)和左主干3支(0.70%)。单支血管病变63例(30.43%),两支血管病变66例(31.88%),3支冠脉血管病变75例(36.23%)。结论:前壁心肌梗死患者以左前支冠脉血管病变为主,可能存在多支冠状动脉血管病变并导致下壁心肌梗死。
Objective To analyze the pathological features of coronary artery in patients with anterior wall myocardial infarction. Methods Two hundred and seven patients with anterior wall myocardial infarction were analyzed their results of coronary arteriography. Results The coronary arteriongraphy showed ≥50%stenosis in 429 vessels, 53. 85% of which （231 vessels） were ≥90% stenosis, including 159 left anterior descending coronary arteries （37. 06%）, 30 right coronary arteries （6. 99%）, 39 circumflex branches （9. 09%） and 3 left main coronary arteries （0. 70%）. Angiogram showed single vessel was involved in 63 cases （30. 43%）, double vessels in 66 cases （31.88%） and three vessels in 75 cases （36.23%）. Conclusion The left anterior descending coronary artery is predominantly involved in patients with anterior wall myocardial infarction and probably multi-vessels are involved ,which may probably lead to inferior myocardial infarction.
出处
《实用诊断与治疗杂志》
2006年第1期19-20,共2页
Journal of Practical Diagnosis and Therapy
关键词
冠状动脉疾病
前壁心肌梗死
冠状动脉造影术
心电描记术
Coronary disease
anterior wall myocardial infarction
coronary arteriography
electrocardiography
