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[与冠状动脉疾病相关的心绞痛的临床特征]

[Clinical characteristics of angina pectoris in relation to disease of the coronary arteries].

作者信息

Buslenko N S, Fitileva L M, Zingerman L S

出版信息

Kardiologiia. 1975 May;15(5):60-4.

PMID:807768
Abstract

Clinical and coronary angiographic comparison conducted in 164 patients with typical angina pectoris demonstrated that the nature of the pains may serve as a criterion of the degree of stenosis and the number of diseased arteries. The development of typical anginal seizures indicates the presence of clear changes in the coronary arteries. A daily intake of over 10 pills of nitroglycerine is a sign of a narrowing of the diameter of the coronary arteries exceeding 75%. A growing number of daily taken pills of nitroglycerine indicates an increase in number of diseased coronaries. Pains occurring during or after meals, when lying down, awakening the patient at night are typical for coronary narrowings exceeding 75% of their diameter. Usually such pains are observed in patients with 2 and more cornary arteries affected by the disease. Rightward irradiation and especially strictly localized pains are often associated with the lesion of the right coronary artery.

摘要

对164例典型心绞痛患者进行的临床和冠状动脉造影比较表明,疼痛的性质可作为狭窄程度和病变动脉数量的标准。典型心绞痛发作的出现表明冠状动脉存在明显变化。每日服用超过10片硝酸甘油是冠状动脉直径狭窄超过75%的迹象。每日服用硝酸甘油片数量的增加表明病变冠状动脉数量的增加。餐后、躺下时或夜间唤醒患者时出现的疼痛是冠状动脉直径狭窄超过75%的典型表现。通常在有两条及以上冠状动脉受累的患者中观察到这种疼痛。向右放射,尤其是严格局限的疼痛常与右冠状动脉病变有关。

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