226例女性患者冠状动脉造影与临床特征对比分析

目的研究女性冠心病患者冠状动脉病变与临床表现、心电图改变的关系。方法选择1998年1月至2005年12月226例行冠状动脉造影的女性患者作为研究对象,同期男性患者631例为对照组,分析女性患者临床症状、心电图改变与冠状动脉造影结果的相互关系。结果226例女性患者中,冠状动脉造影结果诊断冠心病125例,其中典型胸痛63例,典型胸痛诊断女性冠心病敏感性50.4%,特异性71.3%,准确率68.5%,典型胸痛诊断男性冠心病敏感性62.2%,特异性63.4%,准确率80.3%;依据发作期心电图ST段改变,女性冠心病诊断准确率为80.4%,男性为85.2%;分析比较两组病例冠状动脉病变程度,发现女性与男性之间差异无统计学意义(P>0.05)。结论根据临床表现典型胸痛及发作期心电图ST段改变诊断冠心病,在女性同样具有较高准确性;女性冠状动脉病变程度与男性相似。

Characteristics of clinical and coronary angiography in 226 female patients of coronary heart disease

Objective To study the relationship between clinical syndrome,electrocardiogram and coronary disease in female patients.Methods226 female patients who accepted coronary angiography were enrolled,631 male patients experienced same process as control group,study the incidence of clinical syndrome,electrocardiogram change and coronary disease in female and male patients.Results68.5% female patients with typical chest pain was diagnosed as coronary disease,while 80.3% male patients with typical chest pain was d...