X综合征的临床诊断与分析  

Clinical Diagnosis and Analysis in Patients With Syndrome X

作　　者：宋敏[1] 张露[1] 

机构地区：[1]内蒙古自治区医院心内科,内蒙古呼和浩特010017

出　　处：《内蒙古医学杂志》2002年第6期492-493,共2页Inner Mongolia Medical Journal

摘　　要：目的 :提高临床医师对X综合征的临床诊断水平并了解其发病机制 ;方法 :对 186例有胸痛的女性患者 (平均年龄 5 3 2岁 )通过运动试验 ,左室功能及冠状动脉造影来评估X综合征患者冠脉微循环功能及发病机制 ;结果 :186例中 86人 (46% )冠脉造影阴性 ,运动试验阳性 ,左室功能无明显失调 ;结论 :X综合征多见于女性 。Objective:To improve diagnostic techniques and our understanding of pathogenesis of the patients with syndrome X.Method:186 women with chest pain were enrolled for the study.They underwent stress testing,left ventricular function examination and angiography,by which physicians evaluated the patients with syndrome X the coronary microvascular function and pathogenetics.Results:Eighty-six patiets (46 percent )had an ischemic stress test response,no angiographycally documented obstructive CAD and ventricular function was not significantly abnormal.Conclusion:Syndrome X is common in women with chest pain and may result from coronary microvascular dysfuction,which is a disordered function of the smaller coronary resistance vessels.

关 键 词：诊断 X综合征 冠脉微血管 发病机制 

分 类 号：R442.8[医药卫生—诊断学]