影响不稳定性心绞痛预后的因素  

Analysis of Risk Factors Affecting Prognosis of Unstable Angina Pectoris

作　　者：王慧萍[1] 徐惠芬[1] 赵美华[1] 荣烨之[1] 

机构地区：[1]上海第二医科大学新华医院心内科,上海200092

出　　处：《上海交通大学学报（医学版）》2001年第6期540-542,共3页Journal of Shanghai Jiao tong University:Medical Science

摘　　要：目的探讨不稳定性心绞痛发生心脏事件的危险因素。　方法对 89例不稳定性心绞痛患者中 19例发生心脏事件的危险因素进行分析。　结果当不稳定性心绞痛患者有高血压、糖尿病、高血脂、心肌梗塞史、吸烟并伴有冠脉血栓 (冠脉内充盈缺损、偏心Ⅱ型狭窄或多发不规则狭窄 )、严重心肌缺血、微小心肌损害、新近发生的静息性心绞痛、对药物治疗无效的心绞痛 ,发生心脏事件的危险性显著增加。　结论发病早期评价其发生心脏事件的危害性 ,对选择合适的治疗。Objective To explore the risk factors predisposing to the development of cardiac events in patients with unstable angina pactoris (UAP). Methods Among 89 patients with UAP, 19 patients developed cardiac events and the risk factors were analyzed. Results Patients with UAP were at a significantly higher risk to develop cardiac events if associated with any of the following complications: hypertension, diabetes, hyperlipidemia, old myocardial infarction, smoking with coronary thrombosis (filling defect in coronary vessels, eccentric type Ⅱ stenosis or multiple irregular stenosis), severe cardiac muscular ischaemia, minute cardiac muscular damage recently developed resting angina as well as intractable angina unresponsive to administration of medicine. Conclusion Apprasial of the risk of developing cardiac events during early stage of UAP is required in the selection of appropriate types of treatment to improve prognosis.

关 键 词：不稳定性心绞痛 心脏事件 肌钙蛋白T 冠状动脉造影 

分 类 号：R541.4[医药卫生—心血管疾病]