心绞痛样胸痛误诊为冠心病分析  

Anginal Chest Pain Misdiagnosed as Coronary Heart Disease

作　　者：王光公[1] 王丽霞[1] 田军[1] 

机构地区：[1]河南省人民医院二内科,郑州450003

出　　处：《中国误诊学杂志》2002年第9期1289-1290,共2页Chinese Journal of Misdiagnostics

摘　　要：目的　探讨心绞痛样胸痛误诊为冠心病的原因。方法　分析了连续 16 2例因胸痛诊断为冠心病 ,接受冠状动脉造影患者的临床表现、医疗费用及误诊原因。结果　接受冠动脉造影前 ,16 2例中有 5 0例被误诊为冠心病。其中 X综合征 18例 ,β受体高敏征 12例 ,心神经症 8例 ,扩张型心肌病 2例 ,肥厚型心肌病 2例 ,肌桥 1例 ,肌桥并肥厚型心肌病 1例 ,心肌炎 1例 ,主动脉瓣关闭不全 1例 ,其他 4例。结论　胸痛误诊为冠心病的主要原因是未进行必要的检查 ,有经济能力的心绞痛样胸痛患者应该尽早接受冠状动脉造影。Objective To investigate reasons why chest pain was misdiagnosed as coronary heart disease.Methods The clinical data of 162 patients with chest pain misdiagnosed as coronary heart disease were analyzed.Results After coronary angiogram,50 of these patients were identified as noncoronary heart disease,including 18 cases of syndrome X,12 as β receptor anaphylacti a syndrome,8 cardiac neurosis,2 dilated cardiomyopathy,2 hypertropjoc cardiomyopathy,1 myocardial bridge,1 myocarditis,1 aotric insuffciency,1 with both hypertrophic cardiomyopathy and myocardial bridge.the reasons of chest pain of the left 4 cases were not clear.Conclusions Chest pain was misdiagnosed as coronary heart disease mainly because that necessary tests were not performed. If a patient suffered anginal chest pain, and could afford coronary angiogram, he should be undergone coronary angiorgram early.

关 键 词：心绞痛样胸痛 误诊 冠心病 心绞痛 病理生理学 诊断 

分 类 号：R541.4[医药卫生—心血管疾病]