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目的为探讨临床上发作性胸痛伴心电图长期有心肌缺血改变,但冠状动脉造影正常者相关原因。方法对166例患者进行经皮选择性的冠状动脉造影正常,其中女107例,45～78(60±3)岁,男59例,35～42(37±3)岁。结果心电图心肌缺血而冠状动脉造影正常的患者,大多数是绝经期后妇女,女性多于男性。结论冠状动脉造影正常的心电图检查心肌缺血,对于女性绝经期以后的患者有重要的诊断价值,而对男性患者的诊断意义则须结合临床资料综合判定。
Objective To investigate the clinical causes of chest pain with long-term ECG myocardial ischemia changes, but the relative causes of coronary angiography. Methods A total of 166 patients underwent percutaneous selective coronary angiography. Among them, 107 were female, 45 to 78 (60 ± 3) years old, male 59 and 35 to 42 (37 ± 3) years old. Results Electrocardiographic myocardial ischemia and coronary angiography in patients with normal, most of post-menopausal women, more women than men. Conclusions Coronary angiography with normal ECG examination of myocardial ischemia has important diagnostic value for women after menopause. The diagnostic significance of male patients should be combined with clinical data.