心肌梗死伴高血压患者的冠状动脉病变特点  

Features of coronary artery lesions in patients with myocardial infarction coexisting with essential hypertension

作　　者：申仕海[1] 徐开保[1] 徐标[2] 

机构地区：[1]江苏省姜堰市人民医院心内科,江苏姜堰225500 [2]东南大学附属中大医院心内科,江苏南京210009

出　　处：《铁道医学》2001年第6期370-371,共2页Railway Medical Journal

摘　　要：目的　探讨心肌梗死合并高血压病的冠状动脉病变特点。方法　用冠状动脉造影比较心肌梗死伴高血压病 ( 6 8例 )和心肌梗死血压正常 ( 4 1例 )患者的冠状动脉病变狭窄程度、病变数量及分布特征。结果　心肌梗死伴高血压病者多支 (双支、3支 )血管病变多于心肌梗死血压正常者 (P <0 .0 5 ) ,重度狭窄、完全堵塞病变数亦较血压正常者多 (P <0 .0 5 ) ,而病变血管的分布差异无统计学意义 (P >0 .0 5 )。结论　心肌梗死伴高血压病患者的冠状动脉病变范围广、病变程度重。Objectives To study the features of coronary artery lesions in patients with myocardial infarction coexisting with essential hypertension.Methods Coronary artery angiography was used to determine coronary artery lesions.Coronary artery lesions were compared between myocardial infarction patients with and without hypertension.Results Multiple (double and triple) coronary artery stenosis and severity of stenosis were higher in hypertension patients than that in normotensives.Conclusions Myocardial infarction with hypertension had wider extent and more severe coronary artery disease.

关 键 词：心肌梗死 高血压 冠状动脉造影 并发症 

分 类 号：R542.22[医药卫生—心血管疾病] R544.1[医药卫生—内科学]