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目的探讨老年非典型性心绞痛患者的临床特点及相关因素。方法通过心电图、心肌酶学、心脏影像学等检查,对67例60岁以上非典型心绞痛患者进行回顾性分析。结果非典型心绞痛占同期老年心绞痛患者的48.2%,初次静息心电图正常不能排除心绞痛且需监测或者行负荷试验;多种疾病可以诱发老年人心绞痛。结论重视老年心绞痛患者的非典型性表现,及时控制心绞痛症状,防止疾病的恶化及进展度,提高生存率和生活质量。
Objective To investigate the clinical features and related factors of elderly patients with atypical angina pectoris. Methods A total of 67 patients with atypical angina pectoris above 60 years old were retrospectively analyzed by electrocardiogram, myocardial enzymology and cardiac imaging. Results Atypical angina pectoris accounted for 48.2% of elderly patients with angina at the same period. The initial resting ECG could not rule out angina and required monitoring or load test. Many diseases could induce angina in the elderly. Conclusion Attention should be paid to the atypical manifestations of angina patients, the timely control of angina pectoris, prevention of disease progression and improvement of survival rate and quality of life.