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作者从28000例因怀疑动脉硬化性心脏病而作过心导管检查的病例中,选择30例(男14例,女16例,年龄36~65岁,平均47例)确诊为有征候的冠状动脉痉挛综合征进行分析研究。这些病例均满足下列有征候的冠脉痉挛综合征的诊断标准。1.冠状动脉造影正常或轻度异常(狭窄人50%)。2.有心肌缺血病史。3.至少在1次自发性绞痛中心电图呈暂时性缺血性改变。4.在冠脉造影或阳性麦角试验期间,自发生冠脉痉挛伴一过性缺血性心电图改变。
Of the 28,000 patients who underwent cardiac catheterization for suspected arteriosclerotic heart disease, 30 patients (14 males and 16 females, aged 36-65 years, an average of 47) were diagnosed with symptomatic coronary arteries Spasm syndrome analysis. These cases meet the following diagnostic criteria for signs of coronary spasm syndrome. 1. Coronary angiography normal or mild abnormalities (stenosis 50%). 2. Have a history of myocardial ischemia. 3. At least one episode of spontaneous angina produces a transient ischemic change in the cardiogram. 4. During coronary angiography or positive ergot test, self-occurring coronary spasm with transient ischemic ECG changes.