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目的:总结分析变异型心绞痛患者的临床特点及治疗方法。方法:回顾分析11例经心电图及Holl-ter检查明确变异型心绞痛患者的临床特征、冠状动脉造影及治疗随访结果。结果与结论:变异型心绞痛多发于男性患者,其中吸烟者占63.6%,并发高血压、糖尿病及脂代谢紊乱者分别占27.3%18.2%27.2%,心电图变化于下壁导联占72.7%,冠状动脉造影正常者6例(54.5%),轻微病变者3例(27.3%),冠状动脉有严重狭窄并给予支架置入治疗者2例(18.2%)。经硝酸酯类、钙离子拮抗剂治疗均能有效预防再发,对于严重狭窄病变,介入治疗也是有效治疗手段。随访6~48个月,预后良好。
Objective: To summarize and analyze the clinical features and treatment of patients with variant angina. Methods: The clinical features, coronary angiography and follow-up results of 11 patients with confirmed angina pectoris who were confirmed by electrocardiogram and Holl-ter were retrospectively analyzed. RESULTS AND CONCLUSION: Variant angina pectoris occurred frequently in male patients, of which 63.6% were smokers, with hypertension, diabetes and lipid metabolism disorders accounting for 27.3%, 18.2% and 27.2%, ECG changes in inferior wall leads accounted for 72.7%, coronary Six patients (54.5%) with normal arterial angiography, three patients (27.3%) with mild lesion, two patients (18.2%) with severe coronary artery stenosis and stenting. Nitrates, calcium antagonists can effectively prevent the recurrence of recurrence, for severe stenosis, intervention is also an effective treatment. Follow-up 6 to 48 months, the prognosis is good.