摘要
目的分析变异型心绞痛患者临床特点和治疗。方法回顾性分析2012年7月-2015年12月期间确诊的8例变异型心绞痛患者的临床资料。结果 8例患者,均为男性年龄45~86岁。心绞痛易发作时间:凌晨5例,其他时间3例;心绞痛发作持续时间:2~30 min。8例患者心绞痛发作时,胸前导联ST段抬高2例,下壁ST段抬高5例,发作前ST段压低及T波倒置患者各1例。其中3例冠脉狭窄病变严重并行冠状动脉支架植入术,3例冠脉造影显示有轻度狭窄病变,2例冠脉造影正常。随访1年,6例未再发作心绞痛,2例偶有发作。结论变异型心绞痛多发生在冠脉狭窄病变的基础之上,变异型心绞痛患者均应行冠状动脉造影检查,必要时行冠状动脉支架植入术,硝酸酯类、钙离子拮抗剂、尼可地尔等药物疗效肯定。
Objective To analyse the clinical characteristics and treatment of variant angina. Methods From July 2012 to December 2015,the clinical data of 8 patients with variant angina pectoris were retrospectively analyzed. Results 8 patients were male,45 ～ 86 years ago. The onset time of angina pectoris was 5 in the morning and 3 in other times; the duration of angina pectoris was 2 to 30 minutes. In 8 patients with angina pectoris,2 cases were raised in ST segment of precordial lead,5 cases of lower wall ST segment elevation,1 case of ST segment depression before seizures and 1 case of T wave inversion. Among them,coronary stent implantation was performed in 3 patients with severe coronary stenosis,3 cases showed mild stenosis and 2 cases were normal coronary angiography. After 1 year of follow-up,6 cases had no angina pectoris,2 cases had occasional seizures. Conclusion Variant angina often onsets in patients with coronary artery stenosis. Coronary angiography should be performed on patients with vatiant angina. Coronary stent implantation is helpful if necessary. The treatment of these drugs such as nitrates calcium antagonists and nicorandil is effective.
作者
强亚平
栾红
席少静
任红梅
郎立国
QIANG Yaping, LUAN Hong,Xl Shaojing, et al.(Ningxia People＇s Hospital, The Ningxia Hui Autonomous Region, Yinchuan 750002, Chin)
出处
《临床合理用药杂志》
2018年第10期14-15,17,共3页
Chinese Journal of Clinical Rational Drug Use
关键词
变异型心绞痛
临床分析
Variant angina pectoris
Clinical analysis
