应用冠状动脉造影探讨女性冠心病心绞痛临床诊断问题

目的探讨女性冠心病心绞痛的临床诊断问题。方法分析81例女性患者临床诊断冠心病心绞痛行冠状动脉（冠脉）造影检查的临床资料。结果女性冠心病临床胸痛症状常不典型，绝经后出现典型或不典型胸痛，同时又有明显冠心病危险因素，发生冠心病可能性大。绝经后仅有典型或不典型胸痛，而无明显危险因素，则冠心病可能性较小。结论绝经是女性冠心病的重要危险因素，绝经后冠心病发生率增加。

APPLICATION OF CORONARY ARTERIOGRAPHY TO THE STUDY OF CLINICAL DIAGNOSIS OF FEMALE STENOCARDIA OF CORONARY HEART DISEASE

To study clinical diagnosis of female stenocardia of coronary heart disease and the concerning problems. Method Analysis was carried out about the clinical examination results of coronary arteriography which was applied to the diagnosis of 81 cases of female stenocardia of coronary heart disease. Result Clinical thorcalgia for female coronary heart disease was usually not typical. If postmenopausal thorcalgia, typical or not, was companied by obvious critical factors for coronary heart disease, coronary heart disease was most likely to occur, while if postmenopausal thorcalgia appeared without any obvious critical factors, coronary heart disease was less likely to occur.Conclusion Menopause is an important factor for female coronary heart disease, and the incidence rate is increased after menopause.