慢性完全性左束支传导阻滞与冠状动脉病变部位之间的关系  

The relationship between chronic complete left bundle branch block and lesion site of coronary artery disease

作　　者：高阳 姚美娟[2] 戎卫海[3] 龚开政 董志峰 宋国杰 张振刚 

机构地区：[1]江苏省扬州大学第二临床医院,江苏扬州225001 [2]江苏省海门市中医院,江苏海门226100 [3]上海复旦大学附属中山医院,上海200032

出　　处：《临床医药实践》2006年第8期572-574,共3页Proceeding of Clinical Medicine

摘　　要：目的:探讨完全性左束支传导阻滞(CLBBB)与冠状动脉病变部位的关系。方法:回顾分析2704例冠状动脉造影患者的资料,对伴有CLBBB的48例患者的冠状动脉造影结果与同期选择96例非CLBBB患者的资料进行分析。结果:CLBBB组中17例(35.4%)诊断为冠心病,其中左前降支病变16例(94.1%),左回旋支病变9例(52.9%),右冠状动脉病变11例(64.7%)。但病变狭窄程度与病变部位无关。而非CLBBB组中有25例(26.0%)被诊断为冠心病。结论:冠心病患者CLBBB的出现可能与左前降支病变有关。Objective：To evaluate the relationship between chronic complete left bundle branch block（CLBBB） and lesion sites of coronary heart disease（CHD）. Methods：Retrospectively analyzing the data of a total of 2704 patients underwent selective coronary angiography. The CLBBB group consisted of 48 patients with CLBBB. The other 96 cases without CLBBB randomly selected from the whole group were a control group. Results ：Of 17 patients （35. 4%） in the CLBBB group were diagnosed as CHD. The lesions lied in left anterior descending branch for 16 patients （94.1%）,left circumflex branch for 9 cases（52.9%）and right coronary artery for 11 patients（64. 7% ）,respectively. The control group included 25 cases（52.1%） with CHD. Conclusion ：The electrocardiographic CLBBB in patients with CHD might be concerned with lesion of left anterior descending branch.

关 键 词：完全性左束支传导阻滞 冠心病 冠状动脉造影术 

分 类 号：R541.76[医药卫生—心血管疾病]