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Ⅰ型和Ⅲ型无痛性心肌缺血的血液流变特性

A Preliminary Study of Hemorheological Parameters of Patients with Silent Myocardial Ischemia

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【作者】 何作云丁秋华鲁云敏蔡友珍刘凡光

【Author】 He Zuoyun,Ding Qiuhua,Lu Yunmin,et al (Department of Cardiovascular Diseases,Xinqiao Hospital,Third Military Medical College,Chongqing,63003T)

【机构】 第三军医大学新桥医院心内科生物流体力学实验室第三军医大学新桥医院心内科生物流体力学实验室 630037630037630037

【摘要】 52例SMI和22例正常人对照研究发现:31例Ⅲ型SMI的高、中和低切变率下的表观粘度、血浆粘度和红细胞内粘度以及心肌总缺血负荷时间均高于或长于21例Ⅰ型SMI(P<0.05~0.01)。提示无心绞痛发作的Ⅰ型SMI的血液流变特性异常程度轻和心肌总缺血负荷时间较短。

【Abstract】 Fifty-two patients with silient myocardial ishcemia (SMI) were categorized into Type Ⅰ SMI group (n=21) and Type HI SMI group (n=31).22 normal subjects were also observed to serve as the control.It was found that the apparent viscosity of whole blood at different shear rate of 192.0 s-1,30.72s-1,and 3.84 s-1,the plasma viscosity,and the inter-viscosity of erythrocytes,and the duration of total myocardial ischemia on Holter monitoring electrocardiogram were higher and longer in Type Ⅲ SMI patients than in Type Ⅰ SMI ones and the normal controls (P<0.05~0.01).The findings imply that no attack of angina pectoris in the type I SMI cases results from mild alterations of the hemorheological parameters and short duration of total myocardial ischemia.

【基金】 国家自然科学基金
  • 【文献出处】 第三军医大学学报 ,Acta Academiae Medicinae Militaris Tertiae , 编辑部邮箱 ,1991年04期
  • 【被引频次】2
  • 【下载频次】20
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