女性心绞痛患者冠状动脉造影结果分析

    The value of coronary arteriography in the diagnosis of female agina

    • 摘要: 目的: 探讨冠脉造影对女性心绞痛诊断的意义。方法: 118例女性患者行冠状动脉造影,以冠脉造影结果为判断冠心病的阳性指标。同时与心电图、临床表现及男性患者作回顾性分析。结果: 女性患者冠脉造影阴性率为43.20%,较男性为高(P<0.01),且主要为单支病变。前壁心电图改变阳性率为75.68%,有典型心绞痛表现阳性率为80.00%(36/45)。结论: 女性患者病变相对较轻,临床冠心病误诊率高,尽早行冠状动脉造影,可以减轻患者经济及心理负担。

       

      Abstract: Objective: To evaluate the value of coronary anteriography in diagnosis of female angina.Methods: One hundred and eighteen female patients with angina had received coronary angiography.The resultant positive index of cornary angiography were retrospectively analyzed by reviewing male,electrocar digram,clinical menifestation and male case were compared.Results: In 118 cases of female,the incidence of normal coronary arteriography in angina patients were 43.20%.The female patient usually occurred single branch lesion.The incidence of abnormal coronary anteriography who have the changes of antierier wall was 75.68%.The incidence of abnormal coronary anteriography who had typical angina occurred in 80.00%.Conclusions: The changes in female angina patient was minor,but the rate of mistaken analysis was high.It is better to take coronary anteriography to make proper diagnosis and to lighten the economic and physical burden.

       

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