冠状动脉在急性冠脉综合征患者中的作用。
Role of coronary arteries in patients with Acute Coronary Syndrome.
作者信息
Usman Muhammad, Qureshi Hareem Zahra, Zahid Kiran, Bukhari Syed Naseem
机构信息
Dr. Muhammad Usman, MBBS, FCPSI, MO, Department of Cardiology, Ch. Pervaiz Elahi Institute of Cardiology Multan, Multan - Pakistan.
Dr. Hareem Zahra Qureshi, MBBS, FCPSI, MO, Department of Cardiology, Ch. Pervaiz Elahi Institute of Cardiology Multan, Multan - Pakistan.
出版信息
Pak J Med Sci. 2023 Nov-Dec;39(6):1717-1719. doi: 10.12669/pjms.39.6.7173.
OBJECTIVE
To assess the role of coronary arteries in acute coronary syndrome patients who have survived sudden cardiac arrest.
METHOD
A cross-sectional study was conducted in Department of Cardiology at Chaudhary Pervaiz Elahi Institute of Cardiology, Multan from 1 May 2021 to 1 October 2021. A total of 203 patients who were diagnosed with sudden cardiac arrest were included as subjects of the study. Baseline data of all patients including age, sex, body mass index, history of smoking, diabetes and hypertension was noted. Coronary angiography was performed in all patients within five days after admission in hospital due to SCA.
RESULTS
The average age of patients was 52.61±11.09 years. There were 140 (68.97%) male and 63 (31.03%) female patients. There were 131 (64.53%) patients with STEMI and 72 (35.47%) patients with Non-STEMI. LMCAD were diagnosed in 29 (14.29%) patients, RCA in 88 (43.35%) patients, LAD in 174 (85.71%) Patients and LCX in 41 (20.20%) patients.
CONCLUSION
LAD has the most involvement among the coronary arteries (85.71%) in patients with sudden cardiac arrest.
目的
评估冠状动脉在心脏骤停后存活的急性冠脉综合征患者中的作用。
方法
于2021年5月1日至2021年10月在木尔坦乔杜里·佩尔韦兹·埃拉希心脏病学研究所心脏病科进行了一项横断面研究。总共203例被诊断为心脏骤停的患者被纳入研究对象。记录了所有患者的基线数据，包括年龄、性别、体重指数、吸烟史、糖尿病和高血压病史。所有因心脏骤停入院的患者在入院后五天内均进行了冠状动脉造影。
结果
患者的平均年龄为52.61±11.09岁。男性患者140例（68.97%），女性患者63例（31.03%）。ST段抬高型心肌梗死患者131例（64.53%），非ST段抬高型心肌梗死患者72例（35.47%）。左主干冠状动脉病变在29例（14.29%）患者中被诊断，右冠状动脉病变在88例（43.35%）患者中被诊断，左前降支病变在174例（85.71%）患者中被诊断，左旋支病变在41例（20.20%）患者中被诊断。
结论
在心脏骤停患者中，冠状动脉中左前降支受累最为常见（85.71%）。
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