Grajek S, Pyda M, Zajac M, Lesiak M, Paradowski S, Jasiński K
Kliniki Kardiologii Instytutu Kardiologii, AM, Poznaniu.
Kardiol Pol. 1991;34(1):13-20.
We performed a postmortem study on 61 hearts from patients who died of acute ischemic heart disease (IA). Chronic ischemic heart disease (IB) and from hypertensive patients who died of heart infarction (IIA) and other hypertensive complications (IIB). Control group consisted of 16 pts. who died of non cardiac diseases. 4062 coronary artery specimens were estimated. Irrespective of the clinical course of ischemic heart disease the mean percent of coronary artery stenosis was similar in both ischemic groups and significantly higher than in control group. In hypertensive pts. who died of heart infarction it was also significantly higher and similar to ischemic pts. We found the highest percent of segments with critical stenosis in the left anterior descending coronary artery in group IA, IB, IIA. It was also significantly higher in the left main coronary artery in the group of ischemic pts. (IA, IB).
我们对61例死于急性缺血性心脏病（IA）、慢性缺血性心脏病（IB）的患者以及死于心肌梗死（IIA）和其他高血压并发症（IIB）的高血压患者的心脏进行了尸检研究。对照组由16例死于非心脏疾病的患者组成。评估了4062个冠状动脉标本。无论缺血性心脏病的临床病程如何，两个缺血组的冠状动脉狭窄平均百分比相似，且显著高于对照组。在死于心肌梗死的高血压患者中，该百分比也显著更高，且与缺血性患者相似。我们发现IA、IB、IIA组左前降支冠状动脉中严重狭窄节段的百分比最高。在缺血性患者组（IA、IB）中，左主干冠状动脉的该百分比也显著更高。
