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冠心病早期多无症状或不典型 ,现用的各种无创性检查方法确诊率低 ( <3 5% ) ,用冠状动脉造影 (Coronaryangiography,CAG)检查 1 2例飞行员 ,8例冠心病临床可疑 ,5例CAG正常可排除冠心病。 3例诊断为X综合征 ,其中 2例有较典型的心绞痛症状及ECG心肌缺血改变 ,1例有不典型心绞痛症状 ,SET、RMI均为阳性 ,CAG冠脉末稍细 ;这3例CAG无冠脉明显狭窄 ,均符合小冠状动脉病变。另 4例是急性心肌梗塞 (AMI)患者 ,CAG均显示冠脉明显狭窄。CAG对冠心病的确诊有重要价值 ,与无创性检查方法对比分析 ,更清楚地了解其相关性与临床意义。
Coronary angiography (CAG) examination of 12 pilots, 8 cases of clinical suspicious of coronary heart disease clinical diagnosis of coronary heart disease is often asymptomatic or atypical, a variety of noninvasive methods used in the current diagnosis of low (<3 5%), coronary artery disease , 5 cases of normal CAG can rule out coronary heart disease. 3 cases were diagnosed as syndrome X, of which 2 cases had more typical angina symptoms and ECG myocardial ischemia, 1 case had atypical angina symptoms, SET, RMI were positive, CAG coronary arteries were slightly fine; these 3 cases of CAG No significant coronary stenosis, are in line with small coronary artery disease. The other 4 cases were patients with acute myocardial infarction (AMI), CAG showed significant coronary stenosis. CAG has an important value in the diagnosis of coronary heart disease. Compared with noninvasive examination methods, CAG has a better understanding of its relevance and clinical significance.