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[对177名入住冠心病监护病房且排除心肌梗死诊断的患者进行的回顾性研究:心血管意外高危亚组]

[Retrospective study of 177 patients admitted to the coronary unit in whom the diagnosis of myocardial infarct was excluded: subgroup at high risk for cardiovascular accidents].

作者信息

Stancati L, Fazzari M, Gandolfo N, Testa A, Parigi A

出版信息

G Ital Cardiol. 1987 Feb;17(2):109-12.

PMID:3609612
Abstract

In attempt to know prognosis of "threatening angina" we examined, after an average of 4 years, 177 patients hospitalized in CCU for myocardial infarction for whom the diagnosis was ruled out. Cardiac events mortality rate was of 22.4% (45% in the first six months); myocardial infarction occurred in 29.5% of the cases (71% within the twelfth month) with mortality rate of 56%. After Hospital discharge 30% of the patients had angina, whereas 27.3% was alive and completely asymptomatic. These results compared with infarctuated patients group discharged in the same period from same CCU prove "threatening angina" has worse prognosis. High morbidity and mortality in the first months require early diagnostic and therapeutic measures.

摘要

为了解“先兆心绞痛”的预后情况,我们对平均4年后在冠心病监护病房(CCU)因心肌梗死住院但诊断被排除的177例患者进行了检查。心脏事件死亡率为22.4%(前六个月为45%);29.5%的病例发生了心肌梗死(12个月内为71%),死亡率为56%。出院后,30%的患者有心绞痛,而27.3%的患者存活且完全无症状。这些结果与同期从同一CCU出院的心肌梗死患者组相比,证明“先兆心绞痛”的预后更差。最初几个月的高发病率和死亡率需要早期诊断和治疗措施。

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