冠脉造影正常的急性心肌梗死患者临床特点及预后

摘要

目的 分析急性心肌梗死行冠脉造影正常和异常患者的临床资料及随访结果.方法 选择2013年1月至2016年11月间82例急性心肌梗死患者,入院后均于住院10d内行冠脉造影,根据梗死相关冠脉造影结果分为冠脉造影正常组和冠脉造影异常组,记录两组冠心病危险因素和住院期间心脏不良事件,并对患者随访.结果 82例患者中,有18例冠脉造影结果正常,64例异常.冠脉正常组男性、中青年、吸烟、TIMI 3级多见,肌钙蛋白峰值较正常组低,住院期间及随访期间心脏不良事件发生率低.结论 急性心肌梗死合并冠脉造影正常并非少见,男性吸烟者多见,相对年轻,临床短期预后相对较好.%Objective To analysis clinical data and follow-up results of patients with normal and abnormal coronary angiography of acute myocardial infarction. Methods 82 cases of patients with acute myocardial infarction accepted in bozhou city people's hospital of cardiology from January 2013 to November 2016 were chosen .Coronary angiography was performed within 10 days after admission.According to the result of infarction related artery,patients were divided into two groups:normal CAG group and abnormal CAG groups. Collected coronary heart disease risk factors and adverse cardiovascular events of two groups,and follow-up the patients. Results There were 18 cases of nomal CAG and 64 abnormal CAG patients.Men,young and middle-aged,smoking and TIMI3 level were more offen in normal CAG group who with lower the peak troponin levels and lower adverse cardiovascular events during in-hospital and the follow-up period. Conclusion In clinical,it is not rare to encounter acute myocardial infarction with normal coronary angiography who are more common with male,smokers,relatively young and relatively good clinical short-term prognosis.