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急性非ST段抬高心肌梗死患者临床特点分析
引用本文:赵树梅,沈潞华,南芳,郭春艳. 急性非ST段抬高心肌梗死患者临床特点分析[J]. 中国综合临床, 2008, 24(6)
作者姓名:赵树梅  沈潞华  南芳  郭春艳
作者单位:首都医科大学附属北京友谊医院心脏中心,北京,100050
摘    要:
目的 分析急性非ST段抬高心肌梗死(NSTEMI)患者的临床特点.方法 对211例NSTEMI和急性ST段抬高心肌梗死(STEMI)116例患者行冠状动脉造影、超声心动图检查,采集病史和症状特征进行分析.结果 与STEMI患者相比,NSTEMI患者危险因素较多,梗死后心绞痛常见,重度冠状动脉病变和三支病变多见,对心功能影响相对较小.结论 NSTEMI患者冠状动脉病变严重,梗死后心肌缺血常见,应重视对其治疗.

关 键 词:心肌梗死  急性非ST段抬高  冠状动脉造影  超声心动图

Clinical characteristics of acute non-ST segment elevation myocardial infarction
ZHAO Shu-mei,SHEN Lu-hua,NAN Fang,GUO Chun-yan. Clinical characteristics of acute non-ST segment elevation myocardial infarction[J]. Clinical Medicine of China, 2008, 24(6)
Authors:ZHAO Shu-mei  SHEN Lu-hua  NAN Fang  GUO Chun-yan
Abstract:
Objective To study the clinical characteristics of acute non-ST segment elevation myocardial infarction(NSTEMI).Methods 211 patients of NSTEMI and STEMI underwent coronary artery angiography and echocardiogram.Patients'history and symptome were collected and the data of coronary artery angiography and echocardiogram were analyzed.Results Compared with STEMI,NSTEMI patients had more risk factors and postinfarction angina pectoris;severe coronary artery disease and three coronary vessel disease.But NSTEMI had relatively little effects on cardiac function.Conclusion NSTEMI always has more severe coronary artery disease and postinfarction ischemic effects.So more attention should be paid to its standard therapy.
Keywords:Myocardial infarction  Acute non-ST segment elevation myocardial infarction  Coronary artery angiography  Echocardiogram
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