| 急性心肌梗死患者冠状动脉造影正常的临床分析 |
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| 引用本文： | 盛琴惠,王日胜,高炜,霍勇,洪涛,刘梅林,朱国英.急性心肌梗死患者冠状动脉造影正常的临床分析[J].中国介入心脏病学杂志,2001,9(3):128-129. |
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| 作者姓名： | 盛琴惠 王日胜 高炜 霍勇 洪涛 刘梅林 朱国英 |
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| 作者单位： | 北京大学第一医院心内科 |
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| 摘 要： | 目的探讨急性心肌梗死(AMI)患者冠状动脉造影正常的发生率,并分析其临床特点.方法回顾分析了1987年5月至2001年5月869例AMI患者冠状动脉(冠脉)造影结果及有关冠心病的危险因素.结果869例AMI患者中冠脉造影正常者为67例,占7.7%.分析其临床特点,该组患者中以年龄较轻,多无心绞痛病史、高血压病史、糖尿病史及血脂异常,大量吸烟者居多为特征.结论AMI患者中,冠脉造影正常者并非少见,提示,冠脉痉挛在心肌梗死的发病中可能起着十分重要的作用;急性血栓形成伴血栓自溶亦是其病理改变之一.
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| 关 键 词： | 心肌梗死 急性 冠状动脉痉挛 冠状动脉造影 |
| 修稿时间： | 2001年3月9日 |
Clinical analysis of normal coronary arteriography with acute myocardial infarction |
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| SHENG Qinhui,WANG Risheng,GAO Wei,et al Peking University First Hospital,Beijing ,China.Clinical analysis of normal coronary arteriography with acute myocardial infarction[J].Chinese Journal of Interventional Cardiology,2001,9(3):128-129. |
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| Authors: | SHENG Qinhui WANG Risheng GAO Wei Peking University First Hospital Beijing China |
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| Institution: | SHENG Qinhui,WANG Risheng,GAO Wei,et al Peking University First Hospital,Beijing 100034,China |
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| Abstract: | Objective To investigate the morbidity rate and clinical characteristics of acute myocardial infarction (AMI) with normal coronary angiograms (CAG) Methods The results of CAG and some correlated risk factors in 869 patients with AMI enrolled from May 1987 to May 2001 were analysed Results The patients with AMI and normal CAG accounted for 67/869 (7 7%) patients, most of whom were the younger and somkers, but free of angina pectoris, hypertension, diabetes millitus and hyperlipidemia ( P <0 01) Conclusion CAG negative is not infrequent in patients with AMI The results indicate that coronary artery spasm play an important role in AMI with normal CAG Acute thrombosis and auto thromobolysis is also one of the pathologic changes |
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| Keywords: | Acute myocardial infarction (AMI) Spasm Coronary arteriography (CAG) |
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