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本文报告60例冠状动脉及左室造影结果,对不同类型病人冠状动脉病变与临床的联系进行初步对比分析。结果提示冠脉造影和临床诊断有密切联系。临床诊断明确的冠心病86.1％冠脉有病变,临床诊断非特异性胸痛者91.7％冠脉造影正常。慢性劳累型心绞痛多支弥漫性病变多,自发型病变轻。无胸痛史的AMI常见单支闭塞性病变。左室节段性运动消失、反常运动及侧支循环的建立常反映冠状动脉多支或闭塞性病变。
This article reports 60 cases of coronary artery and left ventricular angiography results, different types of patients with coronary artery disease and clinical preliminary correlation analysis. The results suggest that coronary angiography and clinical diagnosis are closely linked. Clinically diagnosed coronary heart disease 86.1% coronary lesions, clinical diagnosis of non-specific chest pain in 91.7% of normal coronary angiography. Multiple chronic angina pectoris multiple diffuse lesions, spontaneous lesions less. AMI without history of chest pain common single occlusive disease. Left ventricular segmental motility disappeared, abnormal motion and the establishment of collateral circulation often reflects the multi-branch coronary artery or occlusive disease.