心绞痛这一概念,在临床上使用的很广泛,但专家们对此尚有一些不同的解释。一般来说,所谓单纯性心绞痛是以心脏疾病为基础呈现发作性胸痛。心绞痛的原因疾病中,以冠状动脉疾病为多见,故临床上应该引起重视。在冠心病中关于心肌梗塞的概念和临床表现比较明确,而心绞痛从1962年世界卫生组织分类以来,有了许多修改,在诊治方面又有了一些进展。在诊断方面如携带用心电计、多阶梯运动负荷试验、冠状动脉造影;在治疗上如钙拮抗剂及主动脉—冠状动脉搭桥术等。现将有关心绞痛的几个问题加以阐述。心绞痛的发生机理及分类 The concept of angina is widely used clinically, but experts here have some different interpretations. In general, the so-called simple angina is based on heart disease, paroxysmal chest pain. The causes of angina disease, coronary artery disease is more common, it should be clinically important. In CHD, the concept and clinical manifestations of myocardial infarction are relatively clear. However, many changes have been made in angina since the WHO classification in 1962, and some progress has been made in the diagnosis and treatment of myocardial infarction. In the diagnosis of such as carrying ECG, multi-stage exercise stress test, coronary angiography; in the treatment of such as calcium antagonists and aorto-coronary bypass surgery. Now some questions about angina are elaborated. The mechanism and classification of angina pectoris