变异型心绞痛伴发心律失常冠状动脉造影特点分析  

Analysis of Characteristic of Coronary Angiography on Variant Angina with Serious Arrhythmias

作　　者：谢登荣 杨全坤 刘仁水[1] 罗正平[1] 

机构地区：[1]湖南省怀化市第二人民医院心内科

出　　处：《临床医药实践》2009年第2X期88-89,共2页Proceeding of Clinical Medicine

摘　　要：目的:探讨变异型心绞痛(VAP)伴发心律失常患者冠状动脉病变的特点。方法:观察42例VAP伴发心律失常病人,均采用ECG和(或)DCG监测,记录心肌缺血时间的长短、心律失常类型、发作时相,并行冠状动脉造影检查,对冠状动脉病变及病变特点做一分析。结果:在CAG检查存在固定狭窄者中狭窄程度≥50%者为27例(64.29%),其中3支血管比较LAD发生率最高(55.56%)。结论:①变异型心绞痛可发生于有狭窄的冠状动脉或正常冠状动脉中,前者多见。②在存在冠状动脉狭窄≥50%的VAP中,LAD痉挛发生率最高。③冠状动脉痉挛的发生率与冠状动脉狭窄的程度相关。Objective:To investigate the relationship between the variant angina pectoris,(VAP) and coronary artery disease.Methods:42 cases of VAP patients with 18-lead ECG or 24-hour Holter monitoring, and coronary angiography, analysed coronary artery disease.Results:CAG inspection confirm that 27 cases in the degree of stenosis≥50%(64.29%),and compared with the group with the highest incidence of LAD(55.56%).Conclusion:① variant angina can occur in a stenosis or normal coronary artery the former seen.②In the presence of coronary artery stenosis≥ 50% VAP,the highest incidence LAD spasm.③the incidence of coronary artery spasm and coronary stenosis are positively correlated.

关 键 词：变异型心绞痛 冠状动脉造影 狭窄 

分 类 号：R541.4[医药卫生—心血管疾病] R541.7[医药卫生—内科学]