45岁以下胸痛女性冠心病特点分析  

Characteristics of coronary artery disease in women≤45 years of age with chest pain

作　　者：蔡建华[1] 苏唏[1] 万海燕[1] 宋丹[1] 陈国洪[1] 彭剑[1] 朱国英[1] 

机构地区：[1]武汉亚洲心脏病医院,湖北武汉430022

出　　处：《心血管康复医学杂志》2007年第4期356-358,共3页Chinese Journal of Cardiovascular Rehabilitation Medicine

摘　　要：目的:探讨中青年女性(<45岁)冠心病(CHD)患病的特点。方法:230例中青年女性(<45岁)胸痛患者按冠脉造影结果分为冠心病(CHD)组和非CHD组,比较两组患者危险因素及无创检查的结果。结果:中青年女性胸痛患者CHD检出率为10%,其中单支病变者占78.3%;CHD组高脂血症,高血压发病率显著高于非CHD组(P<0.01),而无创检查阳性率两组差异无显著性,且假阳性率高。结论:中青年女性胸痛患者CHD患病率低,高脂血症、高血压是其患病主要危险因素;无创检查对中青年女性CHD的诊断价值有限。　Objective：To investigate the characteristics of coronary heart disease（CHD）in women ≤45 years of age with chest pain.Methods：The 230 women ≤45 years of age with chest pain were divided into CHD group and non-CHD group according to the result of coronary angiography（CAG）.Risk factors and noninvasive tests of two groups were compared.Results：The 10% of women ≤45 years of age with chest pain were confirmed as having CHD by CAG.One-vessel disease occurred 78.3%.Prevalences of hyperlipidemia and hypertension in CHD were significantly more than those of non-CHD group（P〈0.01）,whereas the positive results of noninvasive tests had no significant difference between two groups.Conclusion：The morbidity of CHD in women ≤45 years of age with chest pain was low.Hyperlipidemia and hypertension are the main risk factor of CHD.Noninvasive test had little diagnostic value in these patients.

关 键 词：女性 冠状动脉疾病 冠状血管造影 

分 类 号：R541.409[医药卫生—心血管疾病]