微血管性心绞痛的诊疗新进展  

Progression in Diagnosis and Treatment of Microvascular Angina

作　　者：赵文丽[1] 马依彤[1] 

机构地区：[1]新疆医科大学第一附属医院心脏中心冠心病科,新疆乌鲁木齐830054

出　　处：《心血管病学进展》2010年第6期850-853,共4页Advances in Cardiovascular Diseases

基　　金：新疆维吾尔自治区重大科技专项课题(200733146-3)

摘　　要：微血管性心绞痛是一组以劳力性心绞痛,运动试验ST段压低,冠脉造影正常为特征的临床综合征。内皮细胞功能障碍、冠脉血流储备能力降低导致的心肌缺血是被广大学者所认同的主要发病机制。越来越多的学者研究发现药物治疗可以缓解患者症状,适当的心理干预治疗也使部分患者的症状得以改善。现就对微血管性心绞痛的诊疗进展进行探讨。Microvascular angina is a symptom characterized by effort angina,ST-segment depression during stress tests,and normal coronary arteries.Endothelial dysfunction and myocardial ischemia are considered to be the chief etiopathogenesis.A growing body of evidence is showing that drug treatment can relieve the patients＇symptoms,while proportionate psychological intervention can also improve cardiac syndrome X patients＇symptoms of chest pain,and increase their quality of life.This article discusses the diagnosis and treatment of patients with microvascular angina.

关 键 词：微血管性心绞痛 发病机制 治疗 

分 类 号：R541.42[医药卫生—心血管疾病]