高原地区冠心病并糖尿病患者冠脉造影特点分析

目的初步探讨高原地区糖尿病患者冠脉造影的特点。方法对625例高原地区糖尿病并冠心病患者的冠脉造影结果进行分析总结。结果625例患者中冠脉造影正常者占4％，82％为多支病变，14％为单支血管病变。病变多以C型为主，形态以偏心及复杂型病例多见。女性糖尿病多支病变常较男性严重。随访期1年内8％患者发生猝死。结论高原地区糖尿病患者年龄大，冠脉病变严重广泛，故应重视糖尿病的预防及治疗。

Analysis of feature of coronary angiography in patients with coronary artery disease complicated by diabetes mellitus at high sititude

Objective To investigate the feature of coronary angiography in patients with diabetes mellitus （DM） at high altitude. Methods 625 patients with coronary artery disease and DM were treated with coronary angiography. Results In 625 patients received coronary angiography, 25（4%） were normal, 513（82%） had multi-ve sel lesions, 87 （14%） had single-vessel lesions. The lesions were C-type in majority, appearing eccentric and complicated mostly. Female patients had more serious lesions than male, 18 of them had sudden death within one year. Conclusion Patients with DM at high altitude were featured with being aged, female majority, having serious and diffuse lesions. So more attention should be paid on the prevention and treatment of DM.