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朱文玲等报道54例存活的急性心肌梗塞患者中,23例(42.6％)有梗塞后早期心绞痛。经多项危险因素的多元回归分析,发现年龄、性别、梗塞前心绞痛史、梗塞部位、心功能、高血压、糖尿病、高脂血症、肌酸磷酸激酶峰值和左室射血分数等与梗塞后早期心绞痛无关,唯有二维超声心动图的室壁运动分数指数(WMSI)与梗塞后心绞痛有关。说明室壁运动异常的范围大和严重与梗塞后心肌缺血有关。WMSI≥2者应作冠状动脉造影[都本洁摘自中华内科杂志,1994,33(8):513]。
Zhu Wenling et al reported that 54 patients with surviving acute myocardial infarction, 23 patients (42.6%) had early post-infarction angina. Multiple regression analysis showed that age, gender, history of pre-infarction angina, infarction, heart function, hypertension, diabetes mellitus, hyperlipidemia, creatine phosphokinase peak and left ventricular ejection fraction were correlated with infarction After the early angina pectoris has nothing to do, only two-dimensional echocardiography wall motion fraction index (WMSI) and post-infarction angina related. Description of wall motion abnormalities in the range of large and severe myocardial infarction after myocardial ischemia. Coronary angiography should be made for patients with WMSI≥2 [all Benjie from the Chinese Internal Medicine, 1994,33 (8): 513].