【摘要】 目的 探讨我院冠状动脉粥样硬化性心脏病(CHD) 患者的临床特征及冠状动脉(CA)病变特点。方法 回顾性分析我院76例疑诊CHD患者的临床特征及冠状动脉造影(CAG) 资料。结果 合并原发性高血压、高脂血症及糖尿病者分别为75.0%、52.6%和30.2%。有吸烟史者占31.2%。其中心肌梗死组、典型心绞痛组、不典型胸痛组的CAG阳性率分别为100%、81.08%、22.22%。 心电图ST-T改变与冠状动脉造影总的符合率为60.4%。CAG显示: 冠脉供血呈右优势型者57例(75%),均衡型者11例(14%),左优势型者8例(11%)。 病变累及CA136支,单支病变占31.6%,2支病变占21.0%,多支病变占45.6%；A型病变38支(27.9%),B型病变52支(38.2%),C型病变46支(33.8%)，重度以上狭窄占65.2%，23例(40.4%)有不同程度的侧支循环,其中5例(21.7%)为3级。 结论 我院CHD患者普遍高龄,且合并多种危险因素,临床表现可不典型, CA分布以右优势型居多,CA病变以2支及多支病变为主,B型及C型病变占多数、CA狭窄程度较严重,部分病例已有不同程度的侧支循环。

    【关键词】 冠状动脉粥样硬化性心脏病；冠状动脉造影

    Analysis on the clinical characteristics and coronary angiography results of the patients with coronary heart disease in Longfu Hospital

    WU Xiao-hong,ZHAO Xin.

    Department of Cardiology of Longfu Hospital in Beijing, Beijing 100010, China

    【Abstract】 Objective To observe the clinial and coronary arterial lesion's characteristics in patients with coronary heart disease in Longfu Hospital. Methods The clinial materials and the data of coronary angiography in 76 patients were analyzed retrospectively.Results The history of hypertension, hyperlipemia, diabetes mellitus and cigarette smoking, accounted for 75.0%,52.6%,30.2% and 31.2%. Abnormal CAG results were found in 100%,81.08%,22.22% of those with acute myocardial infarction, typical chest pain and atypical chest pain respectively. The overall agreement between surface electrocardiogram (ECG) and CAG was 60.4%. CAG showed that right coronary artery (RCA) dominated distribution were 57 cases (75%), the left coronary artery (LCA) dominated were 8 cases(11%),and the balanced were 11 cases (14%). CAG showed 136 stenostic coronary artery lesions, including 38(27.9%) type A lesions, 52(38.2%) type B lesions and 46(33.8%) type C lesions. Narrowness with the single branch lesion, two branch lesion and multiple branch lesions accounted for 31.6%, 21.0% and 45.6% respctively. Seriously narrowed lesions accounted for 65.2%. Different degree of collateral circulation was found in 23 cases (40.4%), 5 (21.7%) of them were degree 3. Conclusion Most of the patients with CHD in Longfu Hospital were elderly. They had more risk factors, the clinical feature might be atypical.The distribution of coronary artery was often RCA dominated. Two branch and multiple branch lesions were involved in most patients, the degree of narrowness was often severe. The type B and type C lesion were found in most cases. Many of them had different degree of callateral circulation. ......