关于无症状的多条血管损害的冠状动脉病(简称冠心病)在普通人群中所占的分数,以及其自然病史仍不清楚。本文对该病的诊断、预后和治疗作一讨论。诊断有两种无创作性方法可能有助于本病的诊断。第一种是间接的根据,病人具有通常认为和冠心病有关的危险因素,包括吸烟、高血压、高甘油三脂血症和高胆固醇血症。但即使这四种因素都具备,未必表示已有冠心病。所以,需用更直接的无创伤性方法来作出冠心病的诊断。安静心电图虽可检出“沉寂”的心 About asymptomatic multiple vascular lesions of coronary artery disease (referred to as coronary heart disease) in the general population share of the scores, as well as their natural history is still not clear. This article discusses the diagnosis, prognosis and treatment of the disease. Diagnosis There are two non-invasive methods that may be helpful in the diagnosis of this disease. The first is an indirect basis and patients have risk factors commonly associated with coronary heart disease, including smoking, high blood pressure, hypertriglyceridemia, and hypercholesterolemia. However, even if all four factors are available, it may not necessarily indicate that CHD is already present. Therefore, the need for a more direct non-invasive method to make the diagnosis of coronary heart disease. Although quiet ECG can be detected “quiet” heart