冠状动脉造影45例分析

本文总结了45例冠脉造影的经验,并与常规心电图、活动平板试验、超声心动图及~(201)Tl心肌扫描进行了比较,指出:①冠脉造影是一种相当安全的检查方法;②根据不典型的心前区疼痛诊断冠心病常是不可靠的;③冠心病患者的心功能主要取决于冠脉狭窄的程度而与病变的范围关系较小;④冠脉狭窄好发于前降支;⑤中国人和欧美人可能有不同的冠脉分布类型;⑥冠脉间的吻合支只是在高度狭窄或完全闭塞时才出现;⑦各种无创检查方法中以~(201)Tl心肌扫描和负荷心电图有较高的价值。

CORONARY ARTERIOGRAPHY IN 45 CASES Ke Yuannan, et al

The coronary arteriography was performed successfully in 45 cases and was compared with conventional EGG, treadmill exercise test, echocardiography and ~(201)Tl myocardial scintigraphy. The authors, therefore, pointed out that, (1) The coronary arteriography was a safe diagnostic technique, (2) the diagnosis of coronary artery disease (CAD) established on the basis of atypical chest pain might not be reliable, (3) the cardiac function of the CAD patients might be decided chiefly by the severity of coronary stenosis, doesn'tby the extensiveness, (4) the coronary stenoses tend to oscar in LAD branch of coronary artery, (5) the coronary artery distribution of the Chinese might be somewhat different from Europeans and Americans, (6) the collateral circulation might exist only in the cases with severe coronary stenosis or complete coronary occlusion, (7) ~(201)Tl myocardial scintigraphy and treadmill exercise test were possessed of higher diagnostic value than the other noninvasive methods.