Pomerantsev E V, Karpov Iu A, Shibleva V V, Smirnov A A, Blank M L, Savchenko A P, Ruda M Ia
Kardiologiia. 1990 Sep;30(9):48-51.
A total of 27 patients with unstable angina pectoris were examined in the acute period of the disease and 3.4 years later (from 30 to 51 months). A group of patients with a favorable outcome of unstable angina comprised 13 patients who had displayed no recurrences of disease exacerbation, but that of patients with an unfavorable outcome of unstable angina consisted of 14 patients who had had recurrences of symptoms of progressive angina until myocardial infarction (in 6 patients). Coronary angiography made during the first hospitalization showed that 40% of the patients exhibited a "complicated lesion" of the symptom-related artery, which further transformed to an uncomplicated one (Type I stenosis according to the classification by J. Ambrose et al.), the remaining developed coronary occlusion. Comparison of the specific features of a course of the disease and coronary angiographic findings revealed no relationship between the degree of symptom-related artery stenosis and the long-term outcome of unstable angina.
共对27例不稳定型心绞痛患者在疾病急性期及3.4年后（30至51个月）进行了检查。不稳定型心绞痛预后良好的一组患者包括13例未出现疾病加重复发的患者，而不稳定型心绞痛预后不良的一组患者包括14例出现进行性心绞痛症状复发直至心肌梗死（6例）的患者。首次住院期间进行的冠状动脉造影显示，40%的患者症状相关动脉出现“复杂病变”，该病变进一步转变为非复杂病变（根据J.安布罗斯等人的分类为I型狭窄），其余患者出现冠状动脉闭塞。对疾病病程的具体特征与冠状动脉造影结果进行比较发现，症状相关动脉狭窄程度与不稳定型心绞痛的长期预后之间无关联。
