111例冠状动脉造影正常患者临床分析

目的 回顾性分析在我院行冠脉造影正常的111例病人,探讨相关的临床资料,突显对疑诊冠心病患者行冠脉造影的重要性.方法 总结自1996年8月至2003年12月冠脉造影正常的患者111例,进行临床分析.结果 男性83例,女性28例,年龄24岁～76岁;有胸闷痛症状者64例,占64/111(约58%);EKG提示心肌缺血31例,占31/111(约30%);44例接受Holter检查,显示心肌缺血11例,占11/44(约25%);接受心脏彩超检查者70例,提示有室壁运动异常者17例,占17/70(约24%);接受活动平板检查者11例,显示阳性5例,阴性6例;冠脉造影前,疑诊冠心病者86例,占86/111(约77%),经冠脉造影排除冠心病后最后的临床诊断多种多样,以心脏神经症居多,占39例,(39/86,约45%).结论 相当部分冠脉造影正常的患者临床表现及相关检查结果类似于冠心病患者,对疑诊冠心病患者冠脉造影检查至关重要.

Clinical analysis of 111 cases with normal coronary angiography

Objective To disscuss the clinical informations of lll cases with normal coronary angiography(CAG) in order to emphasize the importance of coronary angiography on suspected coronary artery disease(CAD).Methods Collected 111 cases with normal CAG from Aug 1996 to Dec 2003,and make the clinical analysis.Results 83 cases are male,28 cases are female;The age ranged from 24 to 76 years;64 patients had chest pain(58%);EKG showed mycardial ischemia in 31 cases(30%);Holter indicated mycardial ischemia in 11 cases out of 44 cases(25%);Echocardiography provided the ventricular wall move abnormal in 17 cases out of 70 cases(24%);11 patients took the exercise test and 5 cases postive,the others negative;There were 86 cases(77%) suspected CAD before CAG and after CAG;their diagnosis werer confirmed to divergent diseases and most of cases were cardiac nucrosis(39/86,45%).Conclusions The clinical manifestations and related laboratory results in partly patients with normal CAG are as well as that in patients with CAD,and so CAG is more important to identifying patients with suspected CAD.