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作者1976～1979年三年间,对3553例疑为冠状动脉病的患者,行心脏导管检查,其中16例符合冠状动脉血栓形成(证明与导管插入术无关)。作者分析了这16例患者的临床过程、栓塞部位、冠状动脉解剖和左室功能.16例患者都曾采用常规药物治疗,但疗效不佳,心绞痛发作日趋严重.其中15例于导管检查术后两个月内,有心绞痛的急性发作。其余的一例,在导管检查术前三个月,心绞痛发作的频率和程度即开始加重.5例患者急性症状发作前,已患有缺血性心脏病;其余患者均为新近发生的心绞痛。13例患者,于休息时虽有心绞痛的发作,但均不具备变异性心绞痛的临床特征.其中12例患者入院后尽管给以常规药物治疗,但在导管检查术之前,心绞
During the three years between 1976 and 1979, 3553 patients with suspected coronary artery disease underwent cardiac catheterization, of which 16 matched coronary artery thrombosis (proving irrelevant to catheterization). The authors analyzed the clinical course, the embolization site, the anatomy of the coronary arteries, and the left ventricular function in these 16 patients, all of whom received conventional medical therapy but did not respond well to angina pectoris. Of the 15 patients who underwent catheterization Within two months, there is an acute episode of angina. In the remaining cases, the frequency and extent of angina attacks began to aggravate three months prior to catheterization, with ischemic heart disease before the onset of the acute symptoms in five patients; the remaining patients were newly-developed angina. Thirteen patients had angina pectoris at rest, but none of them had the clinical features of variant angina pectoris.Among them, 12 patients were admitted to the hospital for treatment with conventional drugs, but before catheterization,