霍暢 1 , 張小強 2 , 楊慶 2
  • 1.四川省第四人民醫(yī)院內(nèi)科,四川成都 610016;2.四川大學(xué)華西醫(yī)院心內(nèi)科,四川成都 610041;

目的:了解有癥狀冠狀動脈異?;颊叩呐R床特點和預(yù)后。方法:搜集1999年11月~2005年10月期間,因胸痛在心導(dǎo)管室行冠狀動脈造影的病例,分析冠狀動脈異常患者所占構(gòu)成比,對該類患者進行隨訪,分析其臨床特點及臨床終點事件(死亡、心臟猝死、心肌梗死以及血運重建等)的發(fā)生情況。結(jié)果:在研究期間,共2003例胸痛患者進行了冠狀動脈造影,74例患者有冠狀動脈異常(構(gòu)成比3.7%),包括心肌橋54例、冠狀動脈瘺16例、冠狀動脈異常起源3例、單支冠狀動脈1例。其中23名冠狀動脈異?;颊甙榘l(fā)有嚴(yán)重的冠狀動脈粥樣硬化病變或主動脈瓣病變。對無上述伴發(fā)疾病的冠狀動脈異?;颊哌M行隨訪,在隨訪期內(nèi)(平均隨訪40月),與冠狀動脈正常患者相比,該類患者臨床終點事件發(fā)生率無差異。結(jié)論:在有胸痛癥狀行冠狀動脈造影的患者中,冠狀動脈異常的構(gòu)成比較低。該類患者的臨床預(yù)后近似于冠狀動脈正?;颊?。

引用本文: 霍暢,張小強,楊慶. 冠狀動脈異?;颊吲R床特點及隨訪資料分析. 華西醫(yī)學(xué), 2009, 24(2): 355-357. doi: 復(fù)制

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