冠状动脉痉挛合并严重心律失常患者临床特征分析  

The clinical features of coronary artery spasm complicating severe arrhythmia

作　　者：刘英[1] 曾勇[1] 沈珠军[1] 陈太波[1] 

机构地区：[1]中国医学科学院北京协和医学院北京协和医院心内科,北京100730

出　　处：《临床内科杂志》2016年第3期165-167,共3页Journal of Clinical Internal Medicine

摘　　要：目的比较冠状动脉（冠脉）痉挛合并严重心律失常（SCA）患者与不合并SCA患者的临床特征差别。方法回顾性分析23例冠脉痉挛或变异型心绞痛患者的临床资料，根据是否合并SCA分为两组：冠脉痉挛合并SCA组6例和冠脉痉挛不合并SCA组17例。结果冠脉痉挛合并SCA组与不合并SCA组相比，年龄分布、危险因素、有意义的固定性冠脉狭窄发生率及痉挛血管部位的差异均无统计学意义。结论冠脉痉挛合并SCA患者的临床特征与痉挛血管的分布可能并无明显相关性。Objective To compare the difference between patients with severe arrhythmia and those without severe arrhythmia due to coronary artery spasm. Methods The clinical data of 23 patients with coronary artery spasm or variant angina diagnosed in Peking Union Medical College Hospital from January 2009 to November 2014 were retrospectively analyzed. They were divided into two groups, severe cardiac arrhythmia（SCA,n =6） and non-severe cardiac arrhythmia（n = 17） group. Results There were no significant differences in the age, risk factors, incidence of organic coronary stenosis and site of coronary spasm between SCA group and non-severe cardiac arrhythmia group. Conclusion The clinical features of coronary artery spasm complicating severe arrhythmia may be irrelevant to the site of coronary spasm.

关 键 词：变异型心绞痛 冠状动脉痉挛 心律失常 

分 类 号：R541.4[医药卫生—心血管疾病]