夜间发作性心绞痛患者冠状动脉病变分析

目的:探讨夜间发作性心绞痛患者临床表现与冠状动脉造影(CAG)病变形态的关系.方法:选择有心绞痛发作并行冠状动脉造影检查的患者104例,按是否有夜间发作性心绞痛分为两组.A组:51例,患者在行冠状动脉造影检查前至少有一次夜间心绞痛发作;B组:53例,在行冠状动脉造影检查前无夜间心绞痛发作.结果:A组患者冠状动脉的严重狭窄(Ⅲ、Ⅳ级狭窄及完全闭塞),病变发生率明显高于B组,两组间相比,差异具显著性(p＜0.05)结论:夜间发作性心绞痛患者有更为严重的血管病变,宜积极行血运重建术.

The analysis on coronary artery lesion forms of the patients with angina pectoris during nighttime

Objective To explore the association of the clinical manifestation and the lesion f orms of coronary an-giography(CAG)of patients with episodic angina pectoris(AP)during nighttime.Method104cases with attacks of angina pectoris were performed CAG a nd then divided into A and B groups according to AP attacks or no during nighttime.Group A:51cases with AP a ttacks during nighttime once at least;Group B:53cases with no AP attacks during nighttime.Results The incidence rate of serious coronary stenosis(degree III?IVand Vlesion)in group Aare markedly higher in comparison with t hat of group B(P <0.05).Conclusion The patients with AP during nighttim e have more serious coronary lesions,and should be performed revascularization.