Aparici M, Fernández C A, Barba J, Alegría E
Dpto. de Cardiología y Cirugía Cardiovascular, Clínica Universitaria de Navarra, Pamplona.
Rev Med Univ Navarra. 1990 Jan-Mar;34(1):11-6.
A total number of 177 patients with coronary lesions were studied. Sixty nine of them presented either a combination of stenotic and ectatic lesions (n = 18) or isolated ectatic lesions (n = 51) and 108 presented only stenotic lesions. Analyzing several clinical and epidemiological parameters we observed a significant difference with respect to the higher prevalence of hypertension among the group affected by ectatic lesions. We verified as well a higher prevalence of myocardial infarction in the group of ectasia associated to the stenotic lesions. Finally, a higher global mortality was observed in the group of ectasia associated to stenotic lesions after medical or surgical treatment.
共对177例冠状动脉病变患者进行了研究。其中69例表现为狭窄性病变与扩张性病变并存(n = 18)或单纯扩张性病变(n = 51),108例仅表现为狭窄性病变。分析多项临床和流行病学参数后,我们观察到扩张性病变组高血压患病率较高,存在显著差异。我们还证实,合并狭窄性病变的扩张组心肌梗死患病率更高。最后,在接受药物或手术治疗后,合并狭窄性病变的扩张组总死亡率更高。