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目的：探讨缺血性心肌病(ICM)的临床特点。方法：对21例ICM的临床资料进行分析。结果：所有病例发生在老年人，均并发血脂异常，19例并发原发性高血压，15例并发老年退行性主动脉瓣病，9例并发糖尿病。所有病例均并发各种心律失常，以传导阻滞及室性心律失常多见。均伴随不同程度的心功能不全，按NYHA心功能分级多在Ⅱ级以上，且呈多支血管病变。结论：该病多发生在老年人，冠状动脉病变广泛。病史、超声心动图及放射性核素心肌显像对诊断具有意义，而冠状动脉造影对该病诊断具决定性价值。治疗上主要是改善心功能及心肌缺血、控制心律失常、抗凝及抗血小板治疗，必要时可考虑行冠状动脉搭桥术及心脏移植术。“,”Objective :To explore the clinical characteristics of ischemic cardiomyopathy. Method :Analyses of clinical material were performed in 21 cases with ischemic cardiomyopathy. Result:All patients were the senile people,including 100% with abnormal blood lipids, 19 cases with hypertensive disease, 15 cases with degenerative aortic valves disease and 9 cases with diabetes mellitus. All patients were complicated with various kinds of cardioarrhythmia,of which the most common being conduction block and ventricular arrhythmia. All patients had various degrees of heart failure,most of which being the grade Ⅱ or over according to NYHA classification.Furthermore, most patients showed multivessel diseases. Conclusion: This illness usually occurs in the senile people,often with extensive coronary artery disease. Clinical history,ultrocardiography and radionuclide imaging technique are all of significant in diagnosis of this disease. Coronary angiography is of decided diagnostic value.Treatment consists essentially of improvement, of cardiac function and myocardial ischemia, control of cardioarrhythmia,anticoagulation and antiplatelet. When necessary,coronary arery bypass grafting and cardiac transplantation may be considered.