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目的探讨女性冠心病患者的临床及冠状动脉病变特点。方法将冠脉造影确诊的73例女性冠心病患者与同期造影确诊的男性冠心病患者的临床资料、危险因素及冠脉病变特点和血肌钙蛋白T、C反应蛋白、纤维蛋白原浓度相互比较分析。结果女性组冠心病患者的年龄较大、典型胸痛症状和冠心病危险因素个数较男性组低,大腹围、糖尿病史、高血清胆固醇、低高密度脂蛋白及心电图缺血改变的比例较男性组高,血低密度脂蛋白、C反应蛋白和纤维蛋白原及心肌肌钙蛋白T水平与男性组无明显差别。女性冠脉单支病变比例高于男性组,Gensini计分低于男性组。结论女性冠心病患者胸痛症状不典型,心电图异常检出比例高,冠心病危险因素和冠脉病变程度相对于男性较低
Objective To investigate the clinical and coronary lesion characteristics of female patients with coronary heart disease. Methods The clinical data, risk factors and characteristics of coronary lesions and the serum levels of troponin T, C-reactive protein and fibrinogen in 73 women with coronary artery disease diagnosed by coronary angiography and those with coronary angiography diagnosed in the same period were compared with each other analysis. Results The proportion of patients with coronary heart disease in older age, typical chest pain symptoms and coronary heart disease risk factors were lower than those in male patients. The ratio of abdominal malformations, diabetes mellitus, high serum cholesterol, low-density lipoprotein and electrocardiogram ischemia There was no significant difference between males and males in group of high blood LDL, C-reactive protein, fibrinogen and cardiac troponin T levels. The prevalence of single coronary artery disease in women was higher than that in men, and Gensini scores were lower than those in men. Conclusion Chest pain symptoms are not typical in women with coronary heart disease. The detection rate of ECG abnormalities is high. The risk factors of coronary heart disease and coronary artery disease are lower than those of men