冠状动脉造影正常的急性心肌梗死  

Clinical Analysis on Acute Myocardial Infarctionin Normal Angiography of Coronary Artery

作　　者：杨春凯[1] 兰玉怀[1] 杨善军[2] 

机构地区：[1]黑龙江省医院心内科,黑龙江哈尔滨150036 [2]黑龙江中医药大学附属第二医院,黑龙江哈尔滨150040

出　　处：《中国初级卫生保健》2006年第3期87-88,共2页Chinese Primary Health Care

摘　　要：目的观察冠状动脉正常的急性心肌梗死(AMI)患者的临床和血管造影特点。方法2000年8月至2004年10月间,435例AMI患者中36例血管造影显示冠状动脉完全正常,分析患者的临床和冠状动脉造影特点及有关冠心病的危险因素。结果435例AMI患者中冠状动脉造影下正常者为36例,占8.2%。结论AMI患者中冠状动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是其病理改变之一。OBJECTIVE To observe the clinical manifestation and angiography characteristics of normal angiography of coronary artery on AMI. METHODES The clinical materials of 36 of 435 cases of such patient and their risk factors wereanalyzed retrospectively from August 2000 to October 2004. RESULTS There were 36 cases of normal angiography among 435AMI patient （8.2%）. Their age was young, who smoke without past history such as hypertension, diabetes. CONCLUSIONS It was not rare for AMI with normal angiography. The coronary artery spasm might ply important role in AMI and acute embolism be mechanism of self solution as pathology.

关 键 词：急性心肌梗死 冠状动脉痉挛 冠状动脉造影 

分 类 号：R816.2[医药卫生—放射医学]