论文部分内容阅读
冠状动脉(冠脉)痉挛过去一直未受到多数临床工作者的重视,以往曾认为心绞痛发作仅是冠脉粥样硬化狭窄,导致心肌耗氧量超过供氧量所致。这种传统观点严重影响了心脏病学的发展。例如:①常仅以生理系数解释心肌氧的消耗,并以此作为心绞痛患者治疗措施的焦点;②对变异型心绞痛患者进行长达数天或数周的临床监测,过多考虑冠脉的严重粥样硬化改变而忽视了心肌耗氧量水平与心外器官耗氧量水平相似的事实;③忽视了冠脉明显狭窄而无症状的病人其症状与冠脉粥样硬化的严重度之间缺少联系;④冠脉造影一经发现狭窄便臆断为心绞痛的原因。
Coronary (spasm) coronary artery spasm in the past has not been the attention of most clinicians in the past that angina pectoris is only the narrow coronary artery stenosis, resulting in myocardial oxygen consumption than the amount of oxygen due. This traditional view has seriously affected the development of cardiology. For example: ① often only to explain the physiological coefficient of myocardial oxygen consumption, and as the focus of treatment of angina patients; ② patients with variant angina for days or weeks of clinical monitoring, too much consideration of coronary arteries Atherosclerosis changes while ignoring the fact that the level of myocardial oxygen consumption is similar to that of extra-cardiac organs; and ③ the neglect of the lack of correlation between the symptoms and the severity of coronary atherosclerosis in asymptomatic patients with significant coronary stenoses Contact; ④ angiography angiography once found that the reason for angina pessimistic.