临床误诊误治2018，Vol.31Issue(2)：80-83,4.DOI:10.3969/j.issn.1002-3429.2018.02.022
冠状动脉造影检查正常的急性ST段抬高型心肌梗死患者临床特征及预后分析
Clinical Characteristics and Prognosis of Patients with Acute ST-Elevation Myocardial Infarction Having Normal Coronary Arteriongraphy
摘要
Abstract
Objective To investigate clinical characteristics and prognosis of patients with acute ST- elevation myo-cardial infarction (STEMI) having normal coronary arteriongraphy (CAG). Methods A total of 518 patients with primary STEMI undergoing CAG examinations were divided into normal CAG group (n=28) and abnormal CAG group (n=490), and then general data, pathogenesy characteristics, risk factors of coronary heart disease, complications and heart function conditions after admission and prognosis were analyzed between the two groups. Results Compared with those in abnormal CAG group,in normal CAG group, CAG were mostly found in male, and the age of onset was younger; most patients had strenuous activity or emotional agitation before onset,incidence rate of anterior wall infarction was lower,while incidence rate of inferior wall infarction was higher,and the rate of patients having angina pectoris history was lower;rates of electrocardio-gram fallout larger than 50% and chest pain remission larger than 5 scores before operation were higher;rate of patients having diabetes,hypertension and hyperlipidemia histories were lower,while rate of patients having smoking history was higher;after infarction,incidence rates of angina pectoris,cardiac function Killip larger than grade 2,segmental ventricular wall abnormal motion and rehospitalization for ischemia were significantly lower, while left ventricular ejection fraction (LVEF) score was significantly higher (P<0.05). Conclusion Patients with acute STEMT having normal coronary arteriongraphy are mostly young men having fewer risk factors of coronary artery disease,and smoking and stress reaction are the main risk factors,and prognoses of the patients are good.关键词
心肌梗死/血管造影术/冠状动脉/危险因素/预后Key words
Myocardial infarction/Angiography/Coronary artery/Risk factors/Prognosis分类
医药卫生引用本文复制引用
苏岩岩,高亚松,丁超..冠状动脉造影检查正常的急性ST段抬高型心肌梗死患者临床特征及预后分析[J].临床误诊误治,2018,31(2):80-83,4.基金项目
河北省2014年医学科学研究课题(ZL20140138) （ZL20140138）
