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中青年人原因未明的胸痛伴心电图异常的临床诊断
The Clinical Diagnosis of Chest Pain Unknown Etiology Associated with Abnormal ECG in Middle Age and Youth
【摘要】 25例原因未明的胸痛伴 ECG 异常的中青年人,年龄23~49岁,男18例,女7例。经选择性冠状动脉造影(SCAG)及/或心内膜心肌活检(EMB),23例(92%)获得诊断。结果提示,部分冠心病与心肌病之间相互交叉误诊并非罕见,应引以重视。
【Abstract】 Twenty-five cases in middle age and youth with chest pain of unknown etiologyassociated with abnormal ECG but without confirmed diagnosis were reported.Thepatients’ age ranged from 23-49 years(mean 36.3 years),18 were male and 7 female.Selective coronary arteriography(SCAG)and/or endomyoacardial biopsy(EMB)wereperformed in those patients with significant diagnostic result(92%).It was suggestedthat misdiagnosis was not rare in some CHD and DCM,hence attention should bepaid.
- 【文献出处】 天津医药 ,Tianjin Medical Journal , 编辑部邮箱 ,1993年03期
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