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目的探讨不典型心绞痛的临床特点及治疗方法。方法回顾性分析2008-12-2010-01大庆油田总医院集团铁人医院就诊的23例患有不典型心绞痛患者的临床资料并观察其特点。结果 23例患者冠状动脉(冠脉)狭窄均大于50%,动态心电图检出心肌缺血13例,其中左前降支8例,左回旋支4例,双支1例。平板运动试验阳性10例,其中左前降支7例,左回旋支1例,右冠脉2例。结论不典型心绞痛患者症状多样化,部位不典型,男性相对女性患者有更多危险因素。有糖尿病及心脏增大的男性冠心病患者冠脉病变较严重。
Objective To investigate the clinical features and treatment of atypical angina pectoris. Methods The clinical data of 23 patients with atypical angina pectoris attending the Iron Man Hospital of Daqing Oilfield General Hospital from December 2008 to October 2010 were retrospectively analyzed and their characteristics were observed. Results Twenty-three patients had coronary artery stenosis greater than 50%. Myocardial ischemia was detected in 13 patients by dynamic electrocardiogram. Among them, 8 cases were left anterior descending artery, 4 cases were left circumflex artery and 1 case was double arm. Treadmill exercise test was positive in 10 cases, including left anterior descending artery in 7 cases, left circumflex artery in 1 case and right coronary artery in 2 cases. Conclusions The symptoms of atypical angina pectoris are diverse, the site is not typical, and there are more risk factors for male relative female patients. Coronary artery disease is more serious in men with diabetes and cardiac enlargement.