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如何早期识别冠心病高危险病人的问题显得非常重要,因为这些病人尽早进行冠状动脉旁路手术可提高生存率。本研究旨在提出临床上能有效地估计男女两性病人可能存在3支血管或左冠状动脉主干病变的一些变量。病人和方法选择症状符合或怀疑为冠状动脉疾病病人680例为研究对象。其中男性494例、女性186例。326例有心肌梗塞史或静息心电图异常Q波。对他们进行运动平衡核素血管造影,在核素造影6个月内进行冠状动脉造影检查。每例均以逻辑回归分析评价16项临
How early identification of high-risk patients with coronary heart disease is very important, because these patients as soon as possible coronary artery bypass surgery can improve survival. The aim of this study is to propose some variables that can effectively estimate the possible presence of 3 vessels or the main coronary lesion in both men and women in clinic. Sixty-six patients with coronary artery disease who were eligible or suspected to have symptoms of the patient and method of choice were selected as the study subjects. 494 were male and 186 were female. 326 cases of myocardial infarction or resting ECG abnormal Q waves. They were exercise-balanced radionuclide angiography, coronary angiography within 6 months of radionuclide imaging. Each case were analyzed by logistic regression analysis of 16 items