Kruś S, Skrzypek E, Cieciura M
Department of Pathological Anatomy, University Medical School, Warszawa.
Patol Pol. 1993;44(1):5-11.
In the autopsy material of 2932 men and 3051 women the frequency of fresh myocardial infarct and the severity of coronary atherosclerosis were highly significantly lower in the population suffering from malignancies than in that free of cancer. Lower frequency of myocardial infarct seems to result from lower severity of coronary atherosclerosis. The incidence rate of myocardial infarct was also significantly lower in the cancer--bearing group when both compared populations showed identical, severe (grade 4) coronary atherosclerosis. This observation seems to indicate lesser contribution of coronary spasm in cancerous population and justifies the discussion of possible significance of EDRF (endothelium-derived relaxing factor) and catecholamines.
在2932名男性和3051名女性的尸检材料中,患有恶性肿瘤的人群中新鲜心肌梗死的发生率和冠状动脉粥样硬化的严重程度显著低于无癌症人群。心肌梗死发生率较低似乎是由于冠状动脉粥样硬化严重程度较低所致。当两个比较人群的冠状动脉粥样硬化程度相同且严重(4级)时,癌症患者组中心肌梗死的发病率也显著较低。这一观察结果似乎表明癌症人群中冠状动脉痉挛的作用较小,并为讨论内皮源性舒张因子(EDRF)和儿茶酚胺的可能意义提供了依据。