急性非ST段抬高心肌梗死患者临床特点分析  

Clinical characteristics of acute non-ST segment elevation myocardial infarction

作　　者：赵树梅[1] 沈潞华[1] 南芳[1] 郭春艳[1] 

机构地区：[1]首都医科大学附属北京友谊医院心脏中心,北京100050

出　　处：《中国综合临床》2008年第6期554-556,共3页Clinical Medicine of China

摘　　要：目的分析急性非ST段抬高心肌梗死（NSTEMI）患者的临床特点。方法对211例NSTEMI和急性ST段抬高心肌梗死（STEMI）116例患者行冠状动脉造影、超声心动图检查，采集病史和症状特征进行分析。结果与STEMI患者相比，NSTEMI患者危险因素较多，梗死后心绞痛常见，重度冠状动脉病变和三支病变多见，对心功能影响相对较小。结论NSTEMI患者冠状动脉病变严重，梗死后心肌缺血常见，应重视对其治疗。Objective To study the clinical characteristics of acute non-ST segment elevation myocardial infarction（NSTEMI）. Methods 211 patients of NSTEMI and STEMI underwent coronary artery angiogtnphy and echocardiogram, Patients＇history and symptome were collected and the data of coronary artery angiography and echo- cardiogram were analyzed. Results Compared with STEMI, NSTEMI patients had more risk factors and postinfarction angina pectoris;severe coronary artery disease and three coronary vessel disease. But NSTEMI had relatively little effects on cardiac function. Conclusion NSTEMI always has more severe coronary artery disease and postinfarction ischemic effects. So more attention should be paid to its standard therapy.

关 键 词：心肌梗死 急性非ST段抬高 冠状动脉造影 超声心动图 

分 类 号：R542.22[医药卫生—心血管疾病]