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偶尔,心肌梗塞患者在梗塞后所作的冠状动脉造影,并无明显异常。本文旨在分析这些冠状动脉造影正常者的心肌梗塞临床表现,将之与同年龄组有冠状动脉病变者相比较,并寻找其发生心肌梗塞的原因。方法:将作者等新近见到的6例,加上过去文献报道的19例心肌梗塞后冠状动脉造影正常者共25例(均为男性)列为第一组,同时将心肌梗塞后冠状动脉造影有病变者16例列为第二组进行对比。结果:第一组的平均年龄显著较第二组16例为轻(27.5岁:33.7岁,P<0.005)。第一组中15例无易患因子,而第二组则均有1个或1个以上的易患因子(P<0.0001)。第
Occasionally, myocardial infarction in patients after coronary angiography, and no significant abnormalities. This article aims to analyze the clinical manifestations of myocardial infarction in these patients with normal coronary angiography, compared with those with coronary lesions in the same age group and to find out the cause of myocardial infarction. Methods: The authors and other recently seen in 6 cases, together with the literature in the past 19 cases of myocardial infarction after coronary angiography were 25 cases were normal (both men) as the first group, at the same time myocardial infarction after coronary angiography 16 patients with lesions were classified as the second group for comparison. Results: The average age of the first group was significantly lighter than the 16th group (27.5 years: 33.7 years, P <0.005). Fifteen patients in the first group had no predisposing factors, while the second group had one or more predisposing factors (P <0.0001). No.