SEGAL B L
Can Med Assoc J. 1962 Dec 29;87(26):1387-90.
The distribution of coronary atherosclerosis in patients with ischemic heart disease is extensive, and involves at least two major coronary arteries. Thrombosis, occlusion by atheromatous debris and, infrequently, internal hemorrhage may produce final closure of the coronary artery. The anatomy of the coronary vessels, localization of occlusion, recanalization, the extent of intercoronary anastomoses and the physiological demands of the myocardium all affect the ultimate clinical expression of the basic occlusive process.
缺血性心脏病患者冠状动脉粥样硬化的分布广泛,至少累及两条主要冠状动脉。血栓形成、动脉粥样硬化碎片阻塞以及罕见的内出血可能导致冠状动脉最终闭塞。冠状动脉血管的解剖结构、闭塞部位、再通情况、冠状动脉间吻合支的范围以及心肌的生理需求,都会影响基本闭塞过程的最终临床表现。