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作者观察到19例缺血性心脏病病人(男16例,女3例,年龄27～73岁),胸痛时合并单、双侧腿痛。作者推测心源性疼痛的放射标准是①并发典型心绞痛或/和急性心肌梗塞(AMI)性胸痛;②静止或/和运动试验时心电图(ECG)符合心绞痛的诊断;③单、双侧腿痛与胸痛相似且同时发生;④有时静止心绞痛或/和AMI出现相似的腿部放射;⑤腿部动脉搏动正常。结果;19例均有典型的缺血性胸痛。15例劳累性心绞痛中,13例ECG显示心脏缺血,8例冠脉狭窄,15均在中止活动或/和舌下含化硝酸甘油后数分后单、双侧腿痛及胸痛或麻木自行缓解。余4例非劳累性心绞痛,1例27岁男性,阵发性室上性
The authors observed 19 patients with ischemic heart disease (16 males and 3 females, ages 27-73) with single and bilateral leg pain when chest pain was present. The authors hypothesized that the radiological criteria for cardiogenic pain were (1) classic angina and / or acute myocardial infarction (AMI) chest pain; (2) electrocardiographic (ECG) findings consistent with angina pectoris during rest and / Similar to and similar to chest pain at the same time; ④ sometimes still angina or / and AMI similar leg radiation; ⑤ normal leg artery pulse. Results; All 19 patients had typical ischemic chest pain. Among the 15 cases of exertional angina pectoris, 13 cases of ECG showed cardiac ischemia and 8 cases of coronary stenosis. Fifteen were discontinued or sublingual and / or sublingual nitroglycerin were single, bilateral and chest pain or numbness on their own ease. 4 cases of non-exertional angina, 1 case of 27-year-old male, paroxysmal supraventricular