Walston A, Behar V S
Am J Cardiol. 1976 Jul;38(1):12-6. doi: 10.1016/0002-9149(76)90056-4.
The spectrum of coronary arterial involvement is described in 42 patients with hemodynamically proved idiopathic hypertrophic subaortic stenosis. Of nine patients with significant coronary arterial involvement, six had atheromatous disease and three had coronary arterial anomalies. The hemodynamic and clinical features of patients with coronary arterial involvement did not differ significantly from those of patients with normal coronary arteries. Neither the severity nor the character of the chest pain distinguished those patients with coronary disease. The diagnostic electrocardiographic features of myocardial infarction classically seen in patients with idiopathic hypertrophic subaortic stenosis were not present in the 9 patients with coronary arterial involvement but were found in 8 of the 33 patients with normal coronary arteries. The data demonstrate a significant incidence of coronary arterial involvement in patients with idiopathic hypertrophic subaortic stenosis after age 45 years.
在42例经血流动力学证实为特发性肥厚性主动脉瓣下狭窄的患者中，描述了冠状动脉受累的情况。在9例有明显冠状动脉受累的患者中，6例有动脉粥样硬化疾病，3例有冠状动脉异常。冠状动脉受累患者的血流动力学和临床特征与冠状动脉正常的患者无显著差异。胸痛的严重程度和性质均不能区分冠心病患者。在9例冠状动脉受累的患者中未出现特发性肥厚性主动脉瓣下狭窄患者典型的心肌梗死诊断性心电图特征，但在33例冠状动脉正常的患者中有8例出现。数据表明，45岁以后的特发性肥厚性主动脉瓣下狭窄患者冠状动脉受累的发生率较高。
