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无心绞痛病史的心肌梗死在临床上愈来愈引起人们的关注。本文回顾总结本院近5年来收治的急性心肌梗死患者149例,将其发病前有无心绞痛病史进行比较分析,探讨其临床特征。 1 临床资料 1.1 对象:149例中男98例,女51例,平均年龄59.8±8.岁;全部病例均符合1979年WHO诊断标准,均有典型心电图演变及血清酶学检查证实。 1.2 判断标准:根据病史询问及复习以往病历,凡本次发病前无心绞痛或与心绞痛相当的症状或无心肌梗死病史者列入无心绞痛病史组;既往有
Myocardial infarction without history of angina is getting more and more attention in clinic. This review summarizes 149 cases of acute myocardial infarction admitted to our hospital in the past 5 years, compared the history of angina without prior angina, and discussed the clinical features. 1 Clinical data 1.1 Subjects: 149 cases of male 98 cases, female 51 cases, mean age 59.8 ± 8 years; all cases are in line with the 1979 WHO diagnostic criteria, were typical ECG changes and serum enzyme examination confirmed. 1.2 Criteria: According to medical history inquiry and review of previous medical history, where no angina or angina pectoris before the onset of symptoms or no history of myocardial infarction were included in the group history of angina pectoris; previous