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[原发性和复发性心肌梗死患者心绞痛的回顾性评估]

[Retrospective evaluation of angina pectoris in patients with primary and recurrent myocardial infarct].

作者信息

Bluzhas I N, Rastenene D P, Sheshkiavichius A Iu, Krishchiunas A I

出版信息

Kardiologiia. 1981 Jan;21(1):45-8.

PMID:7206444
Abstract

Retrospective analysis of information on 283 patients with myocardial infarction (186 males and 97 females) showed that 64.7% of persons who had suffered from the disease for the first time and 88.6% of those with recurrent myocardial infarction had a history of anginose pain. Exacerbation of angina pectoris had occurred in 56.0% of patients with no previous myocardial infarction and in 71,4% of those with recurrent infarction. A preinfarction state was encountered in primary and recurrent myocardial infarction with equal frequency (in 73.0 and 74.7% of cases, respectively). Nitroglycerin efficacy diminishes in the month preceding myocardial infarction. During exacerbation of angina pectoris, 39.8% of patients who had no previous myocardial infarction and 73.8% of those with a history of the disease applied for medical advice.

摘要

对283例心肌梗死患者(186例男性和97例女性)的信息进行回顾性分析发现,首次患该病的患者中有64.7%以及复发性心肌梗死患者中有88.6%有绞痛病史。既往无心肌梗死的患者中56.0%出现过心绞痛加重,而复发性梗死患者中这一比例为71.4%。初次和复发性心肌梗死中出现梗死前状态的频率相同(分别为73.0%和74.7%的病例)。在心肌梗死前一个月硝酸甘油疗效降低。在心绞痛加重期间,既往无心肌梗死的患者中有39.8%以及有该病病史的患者中有73.8%寻求医疗建议。

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