论文部分内容阅读
目的探讨肥厚型心肌病合并冠心病的发生率及临床意义。方法对1998年至2006年在我院接受冠状动脉造影118例肥厚型心肌病的患者发病情况、临床表现、辅助检测、诊断及预后等方面进行详细研究。结果有20例(17%)合并存在冠心病,冠心病组年龄高于非冠心病组(63±10vs51±17岁,P<0.05),冠心病组出现严重心绞痛发生率较非冠心病组为高(50%vs29%,P<0.05),随访期间,心源性死亡发生率,冠心病组高于非冠心病组(30%vs11.2%,P<0.05)。结论肥厚型心肌病患者中有较高的冠心病的发生率,45岁以上的肥厚型心肌病患者出现胸痛时,应行冠状动脉造影检查。合并冠心病者预后较差,应积极治疗。
Objective To investigate the incidence of hypertrophic cardiomyopathy with coronary heart disease and its clinical significance. Methods From 1998 to 2006 in our hospital to accept coronary angiography of 118 cases of hypertrophic cardiomyopathy in patients with onset, clinical manifestations, laboratory tests, diagnosis and prognosis aspects of a detailed study. Results There were 20 cases (17%) with coronary heart disease, the age of coronary heart disease group was higher than that of non-coronary heart disease group (63 ± 10 vs 51 ± 17 years, P <0.05), and the incidence of severe angina pectoris in coronary heart disease group was (50% vs 29%, P <0.05). During follow-up, the incidence of cardiac death in CHD group was higher than that in non-CHD group (30% vs 11.2%, P <0.05). Conclusion Hypertrophic cardiomyopathy patients have a higher incidence of coronary heart disease, over 45 years of age in patients with hypertrophic cardiomyopathy chest pain, coronary angiography should be performed. Coronary heart disease patients with poor prognosis should be actively treated.