中国介入心脏病学杂志

1998, (04) 191

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The association between coronary angiouraphy and ST-T changes in 81 patients with angina
The association between coronary angiouraphy and ST-T changes in 81 patients with angina

Gang noizhl,Tring wel

摘要(Abstract):

<正> Objective To assess the assoiation betwesn coronary angingraphic(CAG)finding and ordinary electrocardiogram(ECG).Method CAG and ECGwere assessed,and the association between the findings were determined.Results There were 26 patiants(32.1%) with 1-vessel disease;16 patients(19.7%)with 2-vessel disease;19 patients(23.4%)with 3-vessel disease;20patients(24.7%)with no obvious vessel disease in 81 patients with angina.Inpatients with 1-vessel disease,there were 12 cases with a stenosis in proximalleft anterior descending(p-LAD),and with a ECG manitestation of a flattedor inverted T wave in lead V_2~V_4,Ⅰ、Ⅱ、Ⅲ、avE;there were 5 cases withstenosis in m-LAD,end with a ECG manifestation of depressed ST segmentsand of flared or inverted T wave in precordial lead V_3~V_6.and of STsegments 0.4my elevation in precordial leads in one case;there were 4 caseswith stanosis in left conflx(LCX).and with a ECG menifestation ofdepressed ST segments and T wave changes in lead Ⅱ、Ⅲ、avF:and there wasone case with a stanosis in proximal right coronary anery(p-RCA),and witha ECG menifestation of inverted T waves in lead V_1~V_;there were 4 caseswith stanosis in middle and distal of RCA,and with a ECG manifeststion ofdepressed ST segments and T wave changes in lead Ⅱ、Ⅲ、avF.In patientswith 2-versel disease,there were 12 cases with LAD and LCX stenosis,and10 of them had the major stenosis in LAD,and had a ECG manifestation ofST segment depression and T wave changes in lead V_3~V_5,there were noother regularities.In 19 patients with 3-veasel diseases,there were 7 caseswith normal ECG,and most of them had coronary stanosis in p-LAD、m-LCX,m,d-RCA,the degree of stanosis of LAD in 6 of them was slighter thanthe two others,and there were 12 cases with manifestation of ST segmentdepression and T wave changes in lead V_3~V_5,end some of them had ST-Tchanges in leads Ⅱ、Ⅲ、avF.and the coronary stanosis major in LAD.Conclusloa In patients with 1-vessel disease,most of them had stenosismajor in m,d-LAD,and with a ECG manifestation of ST-T changes in leadV_3~V_5,and in patients whose stenosis not major in LAD usually had normalECG.

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作者(Author): Gang noizhl,Tring wel

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