冠状动脉造影正常的急性心肌梗死患者临床预后的研究Clinical prognosis of acute myocardial infarction with normal coronary arteries
李秀清,洪涛,陈明,霍勇
摘要(Abstract)：
目的 通过对冠状动脉 (冠脉 )造影正常的急性心肌梗死 (MINC)患者的随访 ,探讨其临床预后 ,并分析发病危险因素。方法 1987至 2 0 0 1年北京大学第一医院 4 0例 (A组 )首次急性心肌梗死后冠脉造影正常 (冠脉造影狭窄程度小于 2 0 % )患者。同时随访了 12 9例 (B组 )年龄、性别、梗死部位与A组相匹配的冠脉造影严重狭窄 (梗死相关血管狭窄程度 >5 0 % )的急性心肌梗死患者 ,比较分析两组患者急性期、远期预后及发病危险因素。结果 高血压史、危险因素个数、梗死后心绞痛发生率A组明显低于B组。住院期间LVEFA组明显高于B组。两组患者平均随访时间相似 (6 7± 4 0比 6 8± 34月 )。复合心血管事件发生率A组明显少于B组。结论 MINC患者急性期、远期预后明显好于MICS患者 ,冠心病危险因素明显少于后者
关键词(KeyWords)： 心肌梗死;预后;冠状血管造影术
基金项目(Foundation):
作者(Author): 李秀清,洪涛,陈明,霍勇
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