668例女性冠心病患者临床及冠脉病变特点分析

目的分析女性冠心病的临床及冠脉病变特点。方法回顾性分析668例经冠脉造影确诊的女性冠心病患者的临床及冠脉病变特点，并与男性冠心病患者进行比较。结果女性冠心病患者年龄大，临床出现典型心绞痛症状及心电图缺血表现较男性少，合并糖尿病、高脂血症的发生率较男性高。冠脉双支及三支病变、B型及c型病变的发生率均较男性高。结论女性冠心病患者临床表现不典型，糖尿病、高脂血症的发生率高，冠脉病变程度较男性更严重。

The characteristics of the clinical and coronary artery lesion in 668 female patients with coronary heart disease

Objective To assess the characteristics of the clinical and coronary artery lesion in female patients with coronary heart disease. Methods The characteristics of the clinical and coronary artery lesion in 668 female patients with coronary heart disease were retrospectively reviewed and compared with a matched group that including 843 male patients with coronary heart disease. Results Female patients with coronary heart disease presented at a later age. Typical angina and myocardial ischemia were less than in male group. The incidence of diabetes mellitus and hyperlipemia was higher than in male group. The double or triple vessel disease and B or C type disease were more than in male group. Conclusion In female patients with coronary heart disease, the clinical manifestation is atypical, and the incidence of diabetes mellitus and hyperlipemia is higher than in male group, the degree of coronary artery lesion is severer than in male group.