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目的探讨冠状动脉造影对女性冠心病患者的诊断价值。方法对57例女性疑诊冠心病的患者行冠状动脉造影,以冠状动脉造影结果为判断冠心病的诊断标准。同时与体表心电图、临床表现及男性患者作对比分析。结果女性患者冠状动脉造影结果阴性率为40.35%,阳性率为59.65%,阴性率较男性(22.03%)为高(P<0.01),且主要为单支病变,前壁心电图改变阳性率为78.78%,有典型心绞痛表现者阳性率更高。结论女性患者冠状动脉病变相对较轻,临床冠心病误诊率较高,对疑似冠心病患者应尽早行冠状动脉造影。
Objective To investigate the diagnostic value of coronary angiography in women with coronary heart disease. Methods Fifty-seven patients with suspected coronary heart disease underwent coronary angiography and coronary angiography as the diagnostic criteria for the diagnosis of coronary heart disease. At the same time with the body surface ECG, clinical manifestations and male patients for comparative analysis. Results The negative rate of coronary angiography in female patients was 40.35%, the positive rate was 59.65%, the negative rate was higher in male than in male (22.03%) (P <0.01), and the main one was single vessel. The positive rate of anterior wall electrocardiogram was 78.78 %, Positive rate of typical angina pectoris were higher. Conclusion The coronary lesion in female patients is relatively mild, and the rate of misdiagnosis of clinical coronary heart disease is high. Coronary angiography should be performed as soon as possible in patients with suspected coronary heart disease.